home *** CD-ROM | disk | FTP | other *** search
/ Multimedia Special / Multimedia Special (Mustang)(1994).iso / dosgraf / snapshot / grabber / order.frm < prev    next >
Text File  |  1992-02-04  |  4KB  |  60 lines
  1.  
  2.         GRABBER (tm)  Order Form        (For additional information, please see
  3.                                           pages 2-3 of the GRABBER.DOC file.)
  4.  
  5.         +---------------------------------------------------------------------+
  6.         |                                                                     |
  7.         |  I wish to license _____ copy/copies of the latest release of the   |
  8.         |  GRABBER programs. I have enclosed $59.00 and/or $29.00 for each    |
  9.         |  single-user license, as indicated.  (Prices subject to change.)    |
  10.         |                                                                     |
  11.         |   Number of copies:   _____ $59.00 version;   _____ $29.00 version  |
  12.         |                                                                     |
  13.         |  Name ___________________________________________________________   |
  14.         |                                                                     |
  15.         |  Company (if applicable) ________________________________________   |
  16.         |                                                                     |
  17.         |  Address ________________________________________________________   |
  18.         |                                                                     |
  19.         |  City _______________________________  State ______  Zip ________   |
  20.         |                                                                     |
  21.         |  Phone  (_______)____________________   ____ day;  ____ evening     |
  22.         |                                                                     |
  23.         |  I prefer:  _____ 3-1/2" disk;  _____ 5-1/4" disk                   |
  24.         |                                                                     |
  25.         |                     For credit card orders only:                    |
  26.         |                    ******************************                   |
  27.         |                                                                     |
  28.         |  Circle one:    Visa    MasterCard    American Express    Discover  |
  29.         |                                                                     |
  30.         |  Card Number _________________________________ Expiration: _______  |
  31.         |                                                                     |
  32.         |  Cardholder Name (please print) __________________________________  |
  33.         |                                                                     |
  34.         |  Cardholder Signature _____________________________________    3.94 |
  35.         +---------------------------------------------------------------------+
  36.  
  37.          TO ORDER BY CHECK:   Complete the order form above and mail it with
  38.          your check or money order for $59.00 or $29.00 U.S. per copy, payable
  39.          to Gerald A. Monroe.  Send your order to:
  40.  
  41.                                  Gerald A. Monroe
  42.                                  1241 Bunts Road
  43.                                  Lakewood, Ohio 44107  U.S.A.
  44.  
  45.          Canadian and overseas users, please use a check drawn on a U.S. bank.
  46.  
  47.          TO ORDER BY CREDIT CARD:   Call the Public Software Library of Houston,
  48.          Texas and use your Visa, MasterCard, American Express or Discover card.
  49.          There is a handling charge of $4.00 per order when you register through
  50.          PSL. PSL can be contacted (for orders only) at these telephone numbers:
  51.  
  52.                              *  (800) 242-4775   (Toll-Free)
  53.                              *  (713) 524-6394
  54.                              *  (713) 524-6398   (to FAX this order form)
  55.  
  56.          Or, complete the order form above and mail it to:
  57.  
  58.                                  Public Software Library
  59.                                  P.O. Box 35705
  60.                                  Houston, Texas 77235-5705  U.S.A.