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order.txt
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1993-03-13
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2KB
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50 lines
ORDER FORM
Name: ______________________________________________
Company: ___________________________________________
Address: ___________________________________________
City: ______________________________ State: ________
Zip code: _____________________
Phone: _____________________________ Ext: _________
Product Quanity Price/each Total
------------------------------------------------------------------------------
MWATCH NLM (Server license) _______ x $195 = _________
The No Owner File Protection NLM
[MDIR included FREE!]
---------------------------------------
Shipping and Handling ($10)
(Fed Ex available for $15)
(COD Charge add $10) _________
Tax (VA residents add %4): _________
Total order: _________
How do you wish to pay for your order:
Purchase Order _______ Check _________ COD _____________
Visa __________ Account Number: ___________________________________
Expiration Date: _________________
[All orders shipped on 3-1/2"]
Additional information:
This product requires Netware 3.11. # of users?_________________
Please return form to: or fax to (703) 620-6423
Dana Consultants
PO Box 2953 (703) 620-3554
Reston, VA 22091 (800) 800-9301