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TriplePlayPlus! Language Sampler
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order.txt
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1996-03-11
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3KB
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42 lines
Aptiva Special Upgrade Order Form
Name: _______________________________ Ship to: __________________________
Address: ____________________________ Address: __________________________
City: _______________________________ City: _____________________________
State: ______________________________ State: ____________________________
Postal/Zip Code: ____________________ Postal/Zip Code: __________________
Country: ____________________________ Country: __________________________
Phone #:_____________________________ Phone #: __________________________
Product name: Suggested Special Unit
Price Price Qty. Total
TriplePlay Plus! English $99.95 $44.95 X ____ = $ ______
TriplePlay Plus! French $99.95 $44.95 X ____ = $ ______
TriplePlay Plus! German $99.95 $44.95 X ____ = $ ______
TriplePlay Plus! Hebrew $99.95 $44.95 X ____ = $ ______
TriplePlay Plus! Italian $99.95 $44.95 X ____ = $ ______
TriplePlay Plus! Japanese $99.95 $44.95 X ____ = $ ______
TriplePlay Plus! Spanish $99.95 $44.95 X ____ = $ ______
Family Language Pack - Spanish $214.80 $89.95 X ____ = $ ______
Family Language Pack - French $214.80 $89.95 X ____ = $ ______
Family Language Pack - English $214.80 $89.95 X ____ = $ ______
Product subtotal = $ ______
For products shipped to NY State please add sales tax: + $ ______
For orders shipped in the U.S. add $4.95 per order: + $ ______
For orders shipped outside the U.S. add $12.95 per order: + $ ______
ORDER TOTAL = $ ______
Payment information: ___Mastercard ___Visa ___Discover ___American Express
Expiration date:___/___
Cardholder name: _________________________ Card #:_________________________
Cardholder signature: ___________________________
MAIL ORDER FORM TO: FAX ORDER FORM OR CALL IN ORDER TO:
APTIVA SPECIAL UPGRADE OFFERS (800) SYRLANG (797-5264) - U.S. toll-free telephone
Syracuse Language Systems (315) 478-6729 - Telephone from outside U.S.
719 E. Genesee Street (315) 478-6902 - Fax
Syracuse, NY 13210 U.S.A.
Prices are in U.S. funds. Please allow 4 weeks for delivery. Syracuse
Language Systems reserves the right to limit quantities. Offer only
available to IBM Aptiva owners on orders received by mail, fax, or
phone directly to Syracuse Language Systems, on or before 2/28/98. Offer
not valid in conjunction with any other discount or special offer.