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1995-07-17
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59 lines
DOSQUE ORDER FORM
TO ======================== FROM =====================================
Bremer Corporation Name: ____________________________________
3401 Cactus Wren Way
Austin TX 78746 Company: ____________________________________
Telephone: 512-328-2465 Address: ____________________________________
Compuserve ID: 71614,2556
Internet ID: zboray@io.com City: ____________________________________
State: __________ Zip Code: ______________
Country: ______________ Date: ______________
Daytime Phone #: ____________________________________
FAX #: ____________________________________
Where you found DOSmenu: Compuserve _______ Internet _______
BBS _______ Other _________________
PRICING ======================================================================
Individual use:
Per user licensing .............. Number of users ______ X $35 _______
Commercial/institution use:
Non-network environment
Per site licensing .............. Number of sites ______ X $150 _______
Network environment
Per server licensing .......... Number of servers ______ X $150 _______
Shipping and handling ........................................... $10 _______
Texas residents add applicable State & County Sales Tax ............. _______
Total ............................................................ US$ _______
PAYMENT ======================================================================
Enclose a check drawn on a US bank, a postal money order, or a cashiers check,
-- OR --
A signed company/institution purchase order,
-- OR --
[ ] Mastercard [ ] Visa [ ] American Express (includes Corporate)
Card number _______________________________________ Expiration date ____/____
Signature ____________________________________
==============================================================================
DOSque (C)Copyright 1994,95 Bremer Corporation (order area: dez32)