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Text File  |  1986-02-14  |  2KB  |  49 lines
  1.      ORDER FORM
  2.  
  3.      ButtonWare, Inc.      1-800-J-BUTTON (orders only)
  4.      P.O. Box 5786          (206)454-0479 (business office)
  5.      Bellevue, WA 98006    Federal Employer I.D.# 91-1277227
  6.  
  7.      -  Prices subject to change without notice
  8.      -  Price includes technical support for one year
  9.      -  We normally ship within 48 hours
  10.  
  11.                                 QUANTITY*   PRICE   PRICE
  12.      ITEM                  QTY  DISCOUNT    EACH    EXTENDED
  13.      ───────────────────   ───  ────────    ─────   ────────
  14.      PC-Dial  Qty 1 -  4   ___      0%     $59.95   $_______
  15.                   5 -  9   ___     20%      47.96    _______
  16.                  10 - 49   ___     25%      44.96    _______
  17.                  50 - 99   ___     30%      41.97    _______
  18.                    100+    ___     35%      38.97    _______
  19.      PC-File+              ___      *       69.95    _______
  20.      PC-Type+              ___      *       69.95    _______
  21.      PC-Calc+              ___      *       69.95    _______
  22.      Baker's Dozen         ___      *       59.95    _______
  23.      PC-Stylist            ___      *       29.95    _______
  24.      PC-Tickle             ___      *       29.95    _______
  25.      XD                    ___      *       29.95    _______
  26.     *The quantity discount percents apply to each product
  27.  
  28.                                     SUBTOTAL:       $_______
  29.  
  30.      (Wash. state residents only) 8.1% sales tax    $_______
  31.      Standard shipping and handling $5.00           $   5.00
  32.      Orders outside US & Canada add $7.50 per item  $_______
  33.  
  34.                                         TOTAL:      $_______
  35.  
  36.      [] MasterCard   [] Visa   [] check (U.S. funds, U.S. bank)
  37.      Card number____________________________________________
  38.  
  39.      Expiration date__________ Signature____________________
  40.  
  41.      Name    _______________________________________________
  42.      Address _______________________________________________
  43.              _______________________________________________
  44.      City    _____________________   State_____ Zip_________
  45.      Country ___________________  Phone (____)_____-________
  46.  
  47.      What type of floppy disk?      [] 5-1/4"      [] 3-1/2"
  48.      What type of computer do you have? ____________________
  49.