home *** CD-ROM | disk | FTP | other *** search
/ DP Tool Club 15 / CD_ASCQ_15_070894.iso / vrac / tpunch66.zip / ORDER.FRM < prev    next >
Text File  |  1994-05-07  |  864b  |  26 lines
  1.          Invoice Code: tio
  2.  
  3.          Please add me as a supporter of TPUNCH, version 6.6:
  4.  
  5.  
  6.     Name    ______________________________________________________________
  7.  
  8.     Company ______________________________________________________________
  9.  
  10.     Address ______________________________________________________________
  11.  
  12.             ______________________________________________________________
  13.  
  14.     City    ________________________________State _______ Zip ____________
  15.  
  16.  
  17.     Amount  $125.00_x____copies_=_________________   Date   _______________
  18.  
  19.  
  20.    
  21.                                                       Please Mail To:
  22.  
  23.                                                       Richard Zakas
  24.                                                       4205K Bland Rd.
  25.                                                       Raleigh,  NC, 27609
  26.