home *** CD-ROM | disk | FTP | other *** search
/ Trading on the Edge / Trading On The Edge - CD-ROM Toolkit (Wayzata Technology)(2031)(1994).bin / pc / pc_files / venddemo / finance / xchk / order.frm < prev    next >
Text File  |  1991-02-06  |  2KB  |  58 lines
  1.                              ORDER/REGISTRATION FORM 
  2.        
  3.        Ship to:                          Bill to (if different): 
  4.            
  5.           _________________________          ___________________________ 
  6.            
  7.           _________________________          ___________________________ 
  8.             
  9.           _________________________          ___________________________ 
  10.             
  11.        Daytime phone number: ___________________________________________
  12.        
  13.        Payment Method (please circle one):   VISA    MC    Check     COD   
  14.        
  15.        Credit Card Number:______________________ Expiration Date:_______ 
  16.        
  17.        Name on card (if different): ____________________________________ 
  18.        
  19.        Signature (if using credit card): _______________________________ 
  20.          
  21.        PLEASE SHIP ME THE FOLLOWING: 
  22.         
  23.        _____ copies of Exchequer at $15.00        = ____________________ 
  24.          
  25.        _____ copies of PC-Areacode at $15.00      = ____________________ 
  26.         
  27.        _____ copies of Mandelbrot Magic at $15.00 = ____________________    
  28.              (includes BackMAGIC)
  29.        
  30.              California Residents Add Sales Tax = ______________________ 
  31.                                
  32.        Shipping/Handling (per order)                             3.00 
  33.        
  34.                                    TOTAL:   ____________________________ 
  35.        
  36.         
  37.        [  ] Check here if you want 3-1/2" disks
  38.        
  39.        Where did you obtain your copy of or hear about Exchequer?  Please 
  40.        
  41.        be specific._____________________________________________________
  42.        
  43.        Send form to:                        
  44.                  Left Coast Software        
  45.                  P.O. Box 160601
  46.                  Cupertino, CA 95016-0601
  47.        
  48.        Or FAX form to:
  49.                  (408) 996-7154
  50.        
  51.        You may also order/register by phone by calling (408) 996-3130.  
  52.             
  53.                                                                   XC23/1290
  54.         
  55.  
  56.  
  57.  
  58.