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Text File  |  1992-04-03  |  2KB  |  60 lines
  1.  
  2.         S H A R E W A R E    R X F E R    P L U S    O R D E R    F O R M
  3.         _________________________________________________________________
  4.  
  5.        +-----------------------------------------------------------------+
  6.        |                                                                 |
  7.        |     Yes, I want the extra features of Shareware RXfer Plus!     |
  8.        |     Please send me a pre-registered, personally serial          |
  9.        |     numbered copy of the program - right away!                  |
  10.        |                                                                 |
  11.        +-----------------------------------------------------------------+
  12.  
  13.             Please Send Disk Size:  3.5" 720K      5.25" 1.2MB     (circle one)
  14.  
  15.  
  16.             QUANTITY:  ___________    Missouri, USA, residents must
  17.                                       enclose the proper amount of
  18.                                       State Sales Tax with each order.
  19.             x $16.00: $___________    As of 03/01/92, the State Sales Tax
  20.             ----------------------    Rate was 6.475%, which comes to
  21.                                       $1.04 per unit ordered.  Taxes are
  22.                                       (as we all know) subject to change.
  23.             Subtotal: $___________    It is the responsibility of the
  24.                                       orderer to enclose the proper amount
  25.                                       of sales tax.
  26.          + State Tax: $___________  - ($1.04?)
  27.          -------------------------
  28.  
  29.  
  30.       TOTAL ENCLOSED: $___________
  31.  
  32.  
  33.        Please ship my order to the following address:
  34.  
  35.                  Name: _____________________________________________________
  36.  
  37.        Address Line 1: _____________________________________________________
  38.  
  39.        Address Line 2: _____________________________________________________
  40.  
  41.                  City: _____________________________________________________
  42.  
  43.            ST/Country: _______________________  ZIP: _______________________
  44.  
  45.           Telephone #: _____________________________________________________
  46.  
  47.            Order Date: _____________________________________________________
  48.  
  49.              Your CPU: _____________________________________________________
  50.  
  51.  
  52.        Mail this order form, along with your check or money order, to:
  53.  
  54.  
  55.        RXFER PLUS
  56.        PC CONSULTING SERVICES
  57.        PO BOX 30137
  58.        COLUMBIA  MO  65205-3137
  59.  
  60.