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- MindMan Order Form
- ==================
-
- ----------------------------
- Ordering through CompuServe:
- ----------------------------
- If you want to order through CompuServe (GO SWREG) use
- registration ID# 5510.
-
- --------------------------
- Ordering with Credit Card:
- --------------------------
- If you want to order with Credit Card, call 1-800-242-4775
- (1-713-524-6394) and use product number #11976. Or fax to
- 1-713-524-6398. You can also mail your credit card order
- to: PsL, P.O. Box 35705, Houston, TX 77235-5705, USA.
-
- Number of copies: ____ x US$ 59.00 = _________ US$
-
- Shipping & Handling + 3.00 US$
- _____________
-
- Total: _________ US$
-
- [ ] Visa [ ] Mastercard [ ] AMEX [ ] Discover
-
- Name on card: ____________________________________________
-
- Card number: ____________________________________________
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- Expiration date: ___________ Bank: _____________________
-
- Date and Signature: ______________ ______________________
-
-
- Name: _________________________________________________
-
- Address: _________________________________________________
-
- _________________________________________________
-
- _________________________________________________
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- Phone: _________________________________________________
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- Fax: _________________________________________________
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- ------------------------------------------
- Ordering with Check, Cash, or Money Order:
- ------------------------------------------
- Make checks payable to CZAR Software in US$ drawn on a US
- Bank and mail it to: CZAR Software
- P.O. Box 370087
- El Paso, TX 79937-0087
- USA
-