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Text File  |  1995-04-18  |  3KB  |  59 lines
  1.  
  2.  
  3.                  ---------------------
  4.                       ORDER FORM
  5.                  ---------------------
  6.  
  7.  
  8. NAME:______________________________________________
  9.  
  10. ADDRESS:___________________________________________
  11.  
  12.         ___________________________________________
  13.         
  14. CITY:___________________________ STATE:____________
  15.  
  16. ZIP CODE:______________
  17.  
  18. Please send me the following software, I have enclosed 
  19. my check/money order for payment in full.
  20.  
  21. --------------------------------------------------------
  22. | QTY |          TITLE             | PRICE | EXT PRICE |
  23. --------------------------------------------------------
  24. |     | Utility Pack I             |$10.00 |           |
  25. |     |                            |       |           |
  26. --------------------------------------------------------
  27. |     | PopUp! Basic               |$15.00 |           |
  28. |     |                            |       |           |
  29. --------------------------------------------------------
  30. |     | PopUp! Deluxe              |$25.00 |           |
  31. |     |                            |       |           |
  32. --------------------------------------------------------
  33. |     | CDRunner                   |$25.00 |           |
  34. |     |                            |       |           |
  35. --------------------------------------------------------
  36. |     |                            |       |           |
  37. |     |                            |       |           |
  38. --------------------------------------------------------
  39. |     |                            |       |           |
  40. |     |                            |       |           |
  41. --------------------------------------------------------
  42. |     |                            |       |           |
  43. |     |                            |       |           |
  44. --------------------------------------------------------
  45. |     |                            |       |           |
  46. |     |                            |       |           |
  47. --------------------------------------------------------
  48.                                            |           |
  49.                               SUB-TOTAL    |           |
  50.       Mail To:                             -------------
  51.     Eddie Thorpe            NY SALES TAX   |           |
  52.    565 Summit Ave          (if applicable) |           |
  53. Schenectady, NY 12307                      -------------
  54.         USA                                |           |
  55.                             TOTAL ENCLOSED |           |
  56.                                US FUNDS    -------------
  57.  
  58.     Make check/money order payable to: Eddie Thorpe.
  59.