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Text File  |  1993-03-15  |  2KB  |  54 lines

  1.                                       ORDER FORM
  2.                                      ============
  3.  
  4.               // \// \
  5.              <<  << T >ECH ONE                             Phone: 605-361-3980
  6.               \\//\\ / P.O. Box 701                          BBS: 605-361-4666
  7.                <<   >  Sioux Falls, SD  57101
  8.                 \\ /
  9.  
  10.  
  11.         Name: ________________________________________________________________
  12.                                 (please print clearly)
  13.  
  14.         Address: _____________________________________________________________
  15.  
  16.         City: __________________________  State: ________  Zip: ______________
  17.  
  18.         ======================================================================
  19.                     Please indicate your registration number below
  20.                               if purchasing an upgrade.
  21.  
  22.                              [__________________________]
  23.  
  24.         ======================================================================
  25.         Check here
  26.  
  27.         [  ]  SFSURVEY survey conducting software  ($10.00) ....... __________
  28.               (for SPITFIRE questionnaires)        (upgrade $6.00)
  29.  
  30.         [  ]  The SPREAD pro football prediction   ($30.00) ....... __________
  31.               system.                              (upgrade $18.00)
  32.  
  33.         [  ]  STRIPIT file conversion utility      ($ 5.00) ....... __________
  34.                                                    (upgrade $3.00)
  35.  
  36.                                                       Sub Total ...$__________
  37.  
  38.                         South Dakota residents add 6% sales tax ... __________
  39.  
  40.         Shipping & Handling ...................... ($ 1.00) ....... __________
  41.  
  42.                                              Total enclosed .......$__________
  43.  
  44.          ------------------------------------------------------------------
  45.         |        Payment method:     [ ] Check       [ ] Money Order        |
  46.         |-------------------------------------------------------------------|
  47.         | Type of media required:    [ ] 5 1/4       [ ] 3 1/2              |
  48.          -------------------------------------------------------------------
  49.  
  50.         ----------------------------------------------------------------------
  51.                    Make checks or money orders payable to TECH ONE.
  52.                    Thank you for supporting the ShareWare concept!
  53.  
  54.