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/ Precision Software Appli…tions Silver Collection 1 / Precision Software Applications Silver Collection Volume One (PSM) (1993).iso / windows / games / splite.exe / ORDER.DOC < prev    next >
Text File  |  1991-11-26  |  2KB  |  60 lines
  1.                 S H O W    P A R T N E R    L I T E
  2.                         O R D E R   F O R M
  3.  
  4. RETURN WITH PAYMENT TO:
  5. Brightbill-Roberts & Co.            Phone : (800) 362-0777
  6. 21969 Plateau Circle                        (303) 697-1411
  7. Morrison, Co, USA 80465             Fax   : (303) 697-1445
  8.                                     Compuserve : 75300,363
  9.  
  10.  
  11. Name:_______________________________ Phone: __________________________
  12.  
  13.  
  14. Company:______________________________________________________________
  15.  
  16.  
  17. Address: ________________________________________ Suite/Apt.__________
  18.  
  19.  
  20. City: ___________________________, State: _________ ZipCode:__________
  21.  
  22.  
  23.  
  24. Quantity: ________  Show Partner Lite Registration    $ 79.00 ________
  25.                     [  ] 3.5" diskettes
  26.                     [  ] 5.25" diskettes
  27.  
  28.       ________  Overnight Shipping (USA)          $ 20.00 ________
  29.  
  30.  
  31.       ________  Foreign Shipping**                $ 40.00 ________
  32.           **You can avoid this charge by registering 
  33.             with one of our overseas agents -- see
  34.             the REGISTER.DOC file.                   Subtotal ________
  35.  
  36.  
  37.  
  38.                             NY and CO residents add sales tax ________
  39.  
  40.  
  41.                     Shipping and handling charge within USA   $ 5.00
  42.  
  43.  
  44.                                                         TOTAL ________
  45.  
  46. [] Check enclosed.  Make payable to Brightbill-Roberts & Co.
  47. or: Charge my  [] Visa  [] MasterCard [] American Express [] Discover
  48.  
  49. Card No.: ______________________________________ Exp.: __________
  50.  
  51. Name on credit card if different from above:
  52.  
  53.  
  54.           _______________________________________________________
  55.  
  56.  
  57.  
  58.                Your signature:___________________________________
  59.  
  60.