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Text File  |  1995-04-27  |  2KB  |  51 lines
  1.                          O R D E R    F O R M
  2.  
  3.  
  4.  
  5. see Readme.txt for ordering            SOLD TO:
  6. information
  7.                                         _____________________________
  8.  
  9.                                         _____________________________
  10.  
  11. DATE: ________________________          _____________________________
  12.  
  13. PAYMENT:                                _____________________________
  14.  _
  15. | | Check or Money Order
  16.  =
  17. | | Visa                                SHIP TO:
  18.  =
  19. | | MasterCard                          _____________________________
  20.  -
  21.  name _________________________         _____________________________
  22.  
  23.     # _________________________         _____________________________
  24.  
  25.   exp _________________________         _____________________________
  26.  
  27.  sign _________________________ 
  28.  
  29.  
  30.  Item                                        Quantity   Unit  Total
  31. =====================================================================
  32.                                             |         |      |      
  33. --------------------------------------------+---------+------+-------
  34.                                             |         |      |
  35. --------------------------------------------+---------+------+-------
  36.                                             |         |      |
  37. --------------------------------------------+---------+------+-------
  38.                                             |         |      |
  39. --------------------------------------------+---------+------+-------
  40.                                             |         |      |
  41. --------------------------------------------+---------+------+-------
  42.  PAC subscription  (1yr:$5)(2yrs:$8)        |         |      |
  43. =====================================================================
  44.                                                     subtotal |
  45.                                                              +-------
  46.    SEND ORDERS TO           CALL TOLL FREE      NV sales tax |
  47.    JV Enterprises    OR   credit card orders                 +------- 
  48.     Po Box 97455                                    shipping |
  49.  Las Vegas NV 89193         1-800-252-0194                   +-------
  50.                                                        Total |
  51.                                                             =========