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Text File  |  1992-01-03  |  1KB  |  43 lines
  1.  
  2.               Compression/Decompression Utility Order Form
  3.  
  4.  
  5.   Remit to:                           From: (Name, Address, Phone)
  6.  
  7.   LEAD Technologies, Inc.             ___________________________
  8.   8701 Mallard Creek Road             ___________________________
  9.   Charlotte, NC  28262                ___________________________
  10.   (704)549-5532                       ___________________________
  11.  
  12.                                       Contact Individual:
  13.                                       ___________________________
  14.                                       ___________________________
  15.  
  16.  
  17.   Qty                                      Unit Price         Total
  18.  
  19.   _____ Compression Utility                $49.00           _________
  20.  
  21.  _____ LEADVIEW                           $129.00          _________
  22.         (includes Compression Utility)
  23. 
  24.   North Carolina residents please add 6% sales tax.
  25.   Federal Express shipping add $15.00.
  26.  
  27.   Method of Payment:  Check____________________________________
  28.                       MC/VISA____________________________________
  29.                       Exp Date____________________________________
  30.  
  31.                       ____________________________________
  32.                       Authorized Signature
  33.  
  34.                       ____________________________________
  35.                       Print name as shown on your card
  36.  
  37.  
  38.   Allow 2-4 weeks for delivery.
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