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Text File  |  1994-01-21  |  2KB  |  52 lines
  1.                     PROGRESSIVE PRODUCTS
  2.                         P.O. Box 1575
  3.                     Paso Robles, CA 93447
  4.                    FAX/BBS: (805) 239-7672
  5.  
  6.                          ORDER FORM
  7.                          ==========
  8.  
  9. Name________________________________________________________
  10.  
  11. Street Address______________________________________________
  12.  
  13. City _____________________________ State ____ ZIP __________
  14.  
  15. Country (Leave blank for USA) ______________________________
  16.  
  17. Have you registered with us before? [ ] Yes [ ] No
  18.  
  19. Where did you obtain this software _________________________
  20.  
  21. Preferred disk size: [ ] 5.25 1.2MB [ ] 3.5 720K [ ] 3.5 1.4MB
  22.  
  23. Programs you are ordering/registering:
  24.  
  25. [ ]  PC-Nag ............................___ @  $15.00= _________
  26.  
  27.  
  28.                        Calif. residnets add sales tax  _________
  29.  
  30.                                    Shipping & Handling     $3.00
  31.                                                        =========
  32.  
  33.                                 TOTAL amount enclosed $_________
  34.  
  35. Payment by:  [ ] Visa  [ ] MasterCard  [ ] Check  [ ] Money Order
  36.  
  37. Card number: ___________________________________________
  38.  
  39. Expiration date: _____/_____ (MM/YY)
  40.  
  41.  
  42. Signature:   ___________________________________________
  43.  
  44. Please make check or money order payable to: Progressive Products
  45.  
  46. Mail to:  Progressive Products
  47.           P.O. Box 1575
  48.           Paso Robles, CA 93447
  49.  
  50. Or FAX credit card orders to: (805) 239-7672
  51. Or register on our BBS by calling: (805) 239-7672  24 hrs. a day!
  52.