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Text File  |  1979-11-30  |  2KB  |  54 lines
  1.      
  2.      
  3.      Intellisoft Development Inc.
  4.      592 Chagall Court
  5.      Mississauga, Ontario   CANADA   L5R 3A7
  6.      Telephone 905-568-4155   Fax 905-568-2256
  7.      Compuserve:  73623,3564
  8.      
  9.      
  10.                              O R D E R    F O R M
  11.                              --------------------
  12.      
  13.      
  14.      NAME & SHIPPING ADDRESS:
  15.      
  16.      _____________________________________________________________________
  17.      
  18.      _____________________________________________________________________
  19.      
  20.      _____________________________________________________________________
  21.      
  22.      _____________________________________________________________________
  23.      
  24.      
  25.      ORDER:
  26.      
  27.      _____ copy(ies) 3DMENU Plus @ $39.00 each             $______________
  28.                      ___ 3.5"   ___ 5.25"
  29.      
  30.      7% GST (all Canadian orders)                          $______________
  31.      
  32.      8% PST (Ontario only)                                 $______________
  33.      
  34.                                                 TOTAL:     $
  35.                                                            ===============
  36.      
  37.      
  38.      PAYMENT:
  39.      
  40.      _____ Personal/company check enclosed
  41.      
  42.      _____ Money Order/Bank Draft enclosed
  43.      
  44.      _____ Visa/Amex card #_______________________  Expiry date __________
  45.      
  46.            Cardholder name _______________________  Signature ____________
  47.      
  48.      
  49.      - NO C.O.D. ORDERS.
  50.      - CHECKS, MONEY ORDERS and BANK DRAFTS must be fully encoded.
  51.        CAN$ items must be drawn on a Canadian bank, and US$ items must be
  52.        drawn on (or through) a US bank.
  53.      - VISA and American Express are the only credit cards we can accept.
  54.