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Text File  |  1993-03-25  |  2KB  |  60 lines
  1. ---------------------------------------------------------------------
  2.                FlashPac C Library V3.61 ORDER FORM
  3. ---------------------------------------------------------------------
  4. Send Registration To:   SimpleSoft
  5.                         1209 Poplar St
  6.                         La Crescent, MN  55947
  7.  
  8.  
  9. Opt  Description                             Qty    Price      Total
  10. ---  -------------------------------------   ---  ---------   -------
  11.  
  12.  1   FlashPac C Registration                 ___   $0.00 ea   _______
  13.  
  14. ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
  15.  2   FlashPac C Registration and
  16.      new distribution diskettes              ___   $2.50 ea   _______
  17.  
  18.      Total Shipping & handling                                _______
  19.         48 continental states                      $2.50 ea
  20.         Alaska, Hawaii, and Canada                 $5.00 ea
  21.         Overseas                                   $5.00 ea
  22.  
  23. ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
  24.  3   FlashPac C Registration, distribution   ___  $30.00 ea   _______
  25.      diskettes and source code
  26.  
  27.      Total Shipping & handling                                _______
  28.         48 continental states                      $2.50 ea
  29.         Alaska, Hawaii, and Canada                 $5.00 ea
  30.         Overseas                                   $5.00 ea
  31.  
  32. ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
  33.  4   FlashPac C Registration, distribution   ___  $50.00 ea   _______
  34.      disketes, source code and printed
  35.      manual
  36.  
  37.      Total Shipping & handling                                _______
  38.         48 continental states                      $5.00 ea
  39.         Alaska, Hawaii, and Canada                $10.00 ea
  40.         Overseas                                  $15.00 ea
  41. ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
  42.  
  43.                                                   TOTAL       _______
  44.   Payment: Check [ ]   Money Order [ ]
  45.  
  46. Disk size: 5 1/4" disks___     3 1/2" disks___
  47.  
  48.  
  49.    Name: __________________________________________________
  50.  
  51. Company: __________________________________________________
  52.  
  53. Address: __________________________________________________
  54.  
  55.    City: __________________________________________________
  56.  
  57.   State: ________   Zip Code: ________   Country: _________
  58.  
  59.   Phone: Work: (___) ____-_______  Home: (___) ____-_______
  60.