home *** CD-ROM | disk | FTP | other *** search
/ Software Vault: The Gold Collection / Software Vault - The Gold Collection (American Databankers) (1993).ISO / cdr14 / infini12.zip / ORDER.FRM < prev    next >
Text File  |  1993-05-05  |  3KB  |  69 lines
  1.  
  2.        Ray Johnson        P. O. Box 963        Tupelo, Ms. 38802-0963
  3.        --------------------------------------------------------------
  4.  
  5.  
  6.  
  7.  
  8.  
  9.  
  10.  
  11.  
  12.  
  13.        ==============================================================
  14.                Program Description                         Reg. Fee
  15.        __________________________________________________|___________
  16.                                                          |
  17.        __________________________________________________|___________
  18.                                                          |
  19.        __________________________________________________|___________
  20.                                                          |
  21.        __________________________________________________|___________
  22.                                                          |
  23.        __________________________________________________|___________
  24.        Jewel     |
  25.        Choice #  |               Jewel Type
  26.        __________|___________________________________________________
  27.                  |
  28.        __________|___________________________________________________
  29.                  |
  30.        __________|___________________________________________________
  31.  
  32.        Total Registration Fee                            |___________
  33.        Mississippi Residents add 7% SALES TAX:           |___________
  34.        Shipping & Handling:                              |____2.00___
  35.        ORDERS OUTSIDE U.S. & CANADA, ADD $5.00           |___________
  36.        TOTAL AMOUNT ENCLOSED:  ======================>>  |___________
  37.  
  38.  
  39.        Make checks payable to: ========>>  Ray Johnson
  40.                      Remit to: ========>>  P.O. Box 963
  41.                                            Tupelo, Ms. 38802
  42.                                            --------------------------
  43.        TERMS:  Money Order, Cashiers Check, Personal Check.
  44.        Most orders are shipped out within 48 hours of receipt.
  45.        ==============================================================
  46.  
  47.        We would appreciate it if you would tell us where you  received
  48.        your shareware version from.
  49.  
  50.        Shareware Vendor Name:________________________________________
  51.                         Location:____________________________________
  52.  
  53.        Bulletin Board Name:__________________________________________
  54.                       Location:______________________________________
  55.  
  56.  
  57.                              THANK YOU FOR REGISTERING
  58.  
  59.  
  60.  
  61.  
  62.  
  63.  
  64.  
  65.  
  66.  
  67.  
  68.  
  69.