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Text File  |  1992-12-20  |  2KB  |  53 lines

  1.                      ================================
  2.                           Directory Copy V1.0
  3.                      ================================
  4.  
  5.  
  6.                     Remit to:  Millennium Data Systems
  7.                                P.O. Box 835101
  8.                                Douglasville, Ga 30135
  9.                                U.S.A.
  10.  
  11.      ------------------------------------------------------------------
  12.      | Item                          | Quantity |  Price |    Total   |
  13.      |-------------------------------|----------|--------|------------|
  14.      | Directory Copy v1.0           | ________ |  $5.00 | __________ |
  15.      |                               |          |        |            |
  16.      | Variety/Sample Disk           | ________ |  $3.50 | __________ |
  17.      |                               |          |        |            |
  18.      | GA residents only - sales tax |          |   5%   | __________ |
  19.      |                               |          |        |            |
  20.      | Shipping (Outside U.S. only)  | ________ |  $5.00 | __________ |
  21.      |---------------------------------------------------|------------|
  22.      |                                                   |            |
  23.      |   Total amount enclosed                           | __________ |
  24.      ------------------------------------------------------------------
  25.  
  26.      Check desired disk format:    ( ) 5.25" OK      ( ) 3.5" Required
  27.                   Disk Density:    ( ) Low Required  ( ) High OK
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  30.      Payment by:  Check or money order (U.S. funds only)
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  36.      Name:     ________________________________________________________
  37.  
  38.      Company:  ________________________________________________________
  39.  
  40.      Address:  ________________________________________________________
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  42.                ________________________________________________________
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  44.                ________________________________________________________
  45.  
  46.      Phone:    ________________________________________________________
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