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/ Software Vault: The Gold Collection / Software Vault - The Gold Collection (American Databankers) (1993).ISO / cdr45 / cdp_126.zip / ORDERFRM.TXT < prev    next >
Text File  |  1993-04-14  |  2KB  |  52 lines
  1.  
  2.  
  3.  
  4.         
  5.                                      CD Play
  6.                                Product Order Form
  7.         
  8.         Name: __________________________________________________________
  9.         
  10.         Address: _______________________________________________________
  11.         
  12.         City: _____________________________ State: _____________________
  13.         
  14.         Zip: ____________________
  15.         
  16.         
  17.         Version you are registering _____________
  18.         
  19.         MEDIA:  As of 9/1/92, all copies of this program are shipped  on  3.5" 
  20.         720K diskettes.  Users requesting 5.25" diskettes must add $1 per 5.25" 
  21.         copy to cover extra mailing costs.
  22.         
  23.                                     ______ units @ __$10__ ea. = _______
  24.         
  25.         Quantity Discounts!                           + shipping    3.00
  26.         # copies    % discount               +$1 for each 5.25"  _______
  27.           3-9           5%
  28.          10-20         10%                               TOTAL   _______
  29.          21-50         15%
  30.          51-100        20%
  31.           101+         25%
  32.         
  33.         Send your Check/Money Order payable to Randy Rathbun to:
  34.              
  35.              Randy Rathbun
  36.              18602 Cheyenne Drive
  37.              Independence, MO  64056-2082
  38.         
  39.         International orders must be in United States Funds ONLY.  Inter-
  40.         national orders should add $3.00US for increased shipping costs.
  41.         
  42.         From  where  did you receive this program? (if a  BBS,  list  its 
  43.         name/phone number: ______________________________________________
  44.         
  45.         
  46.         For our use only:
  47.         PIDNO: ___________________________________________________
  48.         TYPE:  ________
  49.  
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  52.