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Text File  |  1994-10-30  |  2KB  |  49 lines
  1. ========================| Alphabet Soup Order Form |=========================
  2.  
  3. What size disks would you like our programs to come on?
  4.  
  5.     [  ] 5¼" 1.2M       [  ] 3½" 1.4M
  6.  
  7.  
  8. Name: _______________________________________________________________________ 
  9.  
  10. Street Address: ___________________________________________ Apt. ____________
  11.  
  12. City: _________________________________ State / Province: ___________________ 
  13.  
  14. Zip / Postal Code: _______________ Country (if not U.S.): ___________________
  15.  
  16. Phone: ______________________________
  17.  
  18.  
  19. -----------------------------------------------------------------------------
  20.  QUANTITY  |       DESCRIPTION           |   UNIT PRICE    |  EXTENDED PRICE
  21. -----------------------------------------------------------------------------
  22.            | Alphabet Soup               |     $25.00      |
  23. -----------------------------------------------------------------------------
  24.                                          |    SUB-TOTAL    |
  25. -----------------------------------------------------------------------------
  26.    Colorado residents please add applicable sales tax      |
  27. -----------------------------------------------------------------------------
  28.                                   Shipping and Handling    |       $4.00
  29. -----------------------------------------------------------------------------
  30.    If outside the U.S., add $2 extra for shipping costs    |
  31. -----------------------------------------------------------------------------
  32.                                          |      TOTAL      |
  33.                                          ------------------------------------
  34.  
  35. ***  Make checks or money orders drawn on a U.S. bank and payable in U.S.
  36.      funds to Leapfrog Software, Inc.
  37.  
  38. ***  Please allow about 2 weeks for delivery.
  39.  
  40.  
  41. MAIL YOUR PAYMENT AND THIS ORDER FORM TO:
  42.  
  43.                           Leapfrog Software, Inc.
  44.                           PO Box 11998
  45.                           Pueblo, CO  81001-0998
  46.                           USA
  47.  
  48. Thank you for your order!
  49.