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Text File  |  1993-06-14  |  2KB  |  51 lines

  1.                       Battery Master 1.6 Order Form
  2.  
  3. MAILING ADDRESS:
  4.  
  5.      NAME: _______________________________________________________
  6.  
  7.   COMPANY: _______________________________________________________
  8.  
  9.   ADDRESS: _______________________________________________________
  10.  
  11.            _______________________________________________________
  12.  
  13.            _______________________________________________________
  14.  
  15.     PHONE: _______________________________________________________
  16.  
  17.       FAX: _______________________________________________________
  18.  
  19.  
  20. Pricing (including one diskette and manual):
  21. ============================================
  22.                                                             Quantity   Price
  23. Single User including ............................. $29     ________  ________
  24. 10-User Site License ............................. $149     ________  ________
  25. 20-User Site License ............................. $199     ________  ________
  26. 40-User Site License ............................. $299     ________  ________
  27. 100-User Site License ............................ $399     ________  ________
  28. Unlimited Site License ........................... $495     ________  ________
  29.  
  30. Shipping and handling ............... ($5.00 per Shipment)            ________
  31. Illinois residents ....................... 7.25% sales tax            ________
  32.  
  33. TOTAL ....................................................            ________
  34.  
  35. PAYMENT BY:
  36.  
  37. Check/Money Order No.________ enclosed
  38.  
  39. Visa/MasterCard:  No.____________________________      Exp.___________
  40.  
  41. SEND TO:
  42.                         Decisis, Inc.
  43.             P.O. Box 120481
  44.             Peoria, IL 61614
  45.  
  46. SUPPORT:
  47.                         (309) 655-0177
  48.                         CompuServe Mail: 71320,331 (Jim Voelker)
  49.                         Internet: aajmv@heartland.bradley.edu
  50. frmcmsv0693
  51.