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Text File  |  1993-06-16  |  1KB  |  38 lines

  1.  
  2.  
  3. ORDER FORM                Mike Salisbury
  4.                           M.I.S.A.L. Associates
  5.                           6603 Old Niagara Road
  6.                           Lockport, NY 14094
  7.  
  8.  
  9.                                            Quantity    Price     Price
  10. DESCRIPTION                               3.5"/5.25"   Each    Extended
  11. ------------------------------------------------------------------------
  12.  
  13. WFGUT (File Gutter for Windows (TM)) 1.00S ___/___     $7.00    $_______
  14.  
  15.                                                      SUBTOTAL:  $_______
  16.  
  17.                                                      SHIPPING:  $__3.50_
  18.  
  19.                         New York residents add 8.0% Sales Tax:  $_______
  20.  
  21.                                                          TOTAL  $_______
  22.  
  23. NAME___________________________________________ DATE___________________
  24.  
  25. COMPANY_______________________________________ PHONE___________________
  26.  
  27. MAILING ADDRESS________________________________________________________
  28.  
  29. CITY_______________________________________STATE_________ZIP___________
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  31.  
  32. Please make checks and money orders payable to :
  33.  
  34.                         Mike Salisbury (U.S. Funds only)
  35.  
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  37. ****************************************************************************
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