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Text File  |  1995-09-01  |  2KB  |  61 lines
  1. Please fill out this form and send it along with your payment to the 
  2. address below...
  3.  
  4.                         Julio Cesar Licéa
  5.                         7607 West Fountain Avenue
  6.                         Apartment #1
  7.                         Los Angeles, CA  90046
  8.  
  9. Please make checks payable to Julio Licea.
  10.  
  11. Please send any questions or comments to me via Internet at the 
  12. following Internet address...
  13.  
  14.                         julio@ghs.uucp.usc.edu
  15. -------------------------Please print or type--------------------------
  16.  
  17. [GEOC303]                                                  [Order Form]
  18.  
  19.  
  20. Qty.            Description                     Price           Total
  21. -----------------------------------------------------------------------
  22.  
  23. ---------       Student Geometry Calculator    $10.00       ----------
  24.                 Program
  25.                 Standard Version
  26.                 
  27. _________       Geometry Calculator Program    $2.00        __________
  28.                 Major Update
  29.  
  30.                 Shipping and Handling          $1.00        __________
  31.  
  32. Note that all floppy disks sent will be 3.5", 720k disks.
  33.  
  34.                                                 
  35.                                                 Total....... __________
  36.                                                 
  37. Please fill out the following information...
  38.  
  39. Full Name: ___________________________________  Phone: _________________
  40.  
  41. Address (No P.O Box): _________________________________________________
  42.  
  43. City: ____________________________  State: ______  Zip Code: __________
  44.  
  45. Email address (if any): _______________________________________________
  46.  
  47.  
  48. Signature (security purposes only): ___________________________________
  49.  
  50. Comments or Questions:
  51.  
  52. _______________________________________________________________________
  53.  
  54. _______________________________________________________________________
  55.  
  56. _______________________________________________________________________
  57.  
  58. _______________________________________________________________________
  59.  
  60. _______________________________________________________________________
  61.