home *** CD-ROM | disk | FTP | other *** search
/ High Voltage Shareware / high1.zip / high1 / DIR25 / XYSEE40.ZIP / ORDER.FRM < prev    next >
Text File  |  1993-09-01  |  2KB  |  59 lines

  1.  
  2.  
  3.  
  4.  
  5.                                                            Date:
  6.  
  7.                          XYSee Version 4.0 ORDER FORM
  8.                          ============================
  9.  
  10.  
  11.           Thank you for ordering XYSee...
  12.  
  13.           Please enclose check, money order, or certified purchase order
  14.           for the CORRECT AMOUNT in U.S. funds.
  15.  
  16.           Insight Advantage will pay shipping and handling costs within
  17.           the United States and Canada.
  18.           (foreign residents: please include $3.00 postage.)
  19.  
  20.  
  21.       Insight Advantage         Ship to: _________________________________
  22.       4509 Yellowleaf Dr.                _________________________________
  23.       Fort Worth, TX 76133               _________________________________
  24.                                          _________________________________
  25.  
  26.  
  27.            (   ) Copies of XYSee   @ $30.00 each:      $ ________
  28.  
  29.            (   ) Disk ONLY copies  @ $20.00 each:      $ ________
  30.  
  31.            (   ) Evaluation copies @  $7.00 each:      $ ________
  32.  
  33.                                         Subtotal:      $ ________
  34.  
  35.                 TX residents add 8.00% sales tax:      $ ________
  36.  
  37.              Foreign residents add $3.00 postage:      $ ________
  38.  
  39.                                            TOTAL:      $ ________
  40.  
  41.  
  42.           The disk format I want is:    5.25" ____ (DSDD___ HD___)
  43.                                         3.50" ____  
  44.  
  45.           This order is for a:
  46.  
  47.           Business ___ School ___ Individual ____ Other ______________
  48.                                                        (please specify)
  49.  
  50.           I received my present copy of XYSee from a:
  51.  
  52.           Bulletin Board ___ Shareware Vendor ___ Other ______________
  53.                                                        (please specify)
  54.  
  55.           PLEASE NOTE:
  56.  
  57.           We attempt to ship all orders within two business days.
  58.           XYSee has been approved by the New York City Board of Education.
  59.           ISBN 0-9627172-2-3                                      ASP-993.