home *** CD-ROM | disk | FTP | other *** search
/ DP Tool Club 17 / CD_ASCQ_17_101194.iso / vrac / egatrk31.zip / ORDERFRM.TXT < prev    next >
Text File  |  1994-09-01  |  4KB  |  72 lines

  1.   INSTANT REGISTRATION FORM
  2.   Just copy this file to your printer, fold, tape, and mail.
  3.   See the file EGATREK.TXT or run CATALOG.EXE for program descriptions.
  4.  
  5.    Quantity  Description                   Price Total
  6.   +--------+------------------------------+-----+-----+   EGATrek v3.1 was
  7.   |        | EGATrek                      | $15 |     |   acquired from:
  8.   +--------+------------------------------+-----+-----+
  9.   |        | "Deluxe" EGATrek             | $22 |     |    [ ] friend
  10.   +--------+------------------------------+-----+-----+    [ ] free BBS
  11.   |        | Tile Match                   | $15 |     |    [ ] pay BBS
  12.   +--------+------------------------------+-----+-----+    [ ] disk vendor
  13.   |        | "Deluxe" Tile Match          | $22 |     |    [ ] rack in store
  14.   +--------+------------------------------+-----+-----+    [ ] user group
  15.   |        | Cipher                       | $15 |     |    [ ] other (describe)
  16.   +--------+------------------------------+-----+-----+
  17.   |        | "Deluxe" Cipher              | $22 |     |   Name of vendor, BBS,
  18.   +--------+------------------------------+-----+-----+   store, etc.:
  19.   |        | Puzzle Collections; Circle   | $5  |     |
  20.   |        | ones you want:  1  2  3  4   | each|     |   _____________________
  21.   +--------+------------------------------+-----+-----+
  22.   |        | Mah Jongg solitaire          | $15 |     |   Mail to:
  23.   +--------+------------------------------+-----+-----+    Nels Anderson
  24.   |        | "Deluxe" Mah Jongg           | $22 |     |    585 Edmands Road
  25.   +--------+------------------------------+-----+-----+    Framingham, MA
  26.   |        | Shooting Gallery             | $15 |     |    01701  U.S.A.
  27.   +--------+------------------------------+-----+-----+
  28.   |        | "Deluxe" Shooting Gallery    | $22 |     |
  29.   +--------+------------------------------+-----+-----+   SHIPPING:  $2 per
  30.   |        | SuperFly                     | $15 |     |   order, except $4
  31.   +--------+------------------------------+-----+-----+   for deluxe versions
  32.   |        | "Deluxe" SuperFly            | $22 |     |   or for shipping
  33.   +--------+------------------------------+-----+-----+   outside of North
  34.   |        | Charge for EACH 3.5" disk    | $2  |     |   America.
  35.   +--------+------------------------------+-----+-----+       |
  36.       TOTAL SHIPPING/HANDLING @ $2 OR $4  |$2/$4|     | <-----+
  37.                                           +-----+-----+
  38.   All prices are in U.S. dollars          TOTAL |     |
  39.   Minimum credit card order: $15                +-----+
  40.   Make checks payable to: Nels Anderson
  41.  
  42.   Circle Disk Size:  5.25"   3.5" (add $2 extra for EACH 3.5" disk ordered)
  43.                                                     ^^^^ 
  44.   Payment:  _____ Check (U.S. funds only)   ______ VISA   ______ MasterCard
  45.  
  46.   Card Number:  _______ _______ _______ _______  Expiration Date:  ________
  47.  
  48.   Signature:  _________________________ (credit card orders must be signed)
  49.  
  50.   Name:  __________________________________________________________________
  51.  
  52.   Address:  _______________________________________________________________
  53.  
  54.   City/State/Zip:  ________________________________________________________
  55.  
  56.   Comments, suggestions:
  57.  
  58.  
  59.   EGATrek v3.1
  60.                                                                   +-----+
  61.                                                                   |Place|
  62.                                                                   |Stamp|
  63.                                                                   |Here!|
  64.                                                                   +-----+
  65.  
  66.  
  67.                               Nels Anderson
  68.                               585 Edmands Road
  69.                               Framingham, MA 01701
  70.  
  71.  
  72.