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Text File  |  1992-03-20  |  2KB  |  50 lines
  1.                               Extensions Software
  2.  
  3.                                   Order Form
  4.  
  5.  
  6.   Name:    __________________________________   Date: _____________
  7.  
  8.   Company: __________________________________
  9.  
  10.   Address: __________________________________
  11.  
  12.   City:    __________________________________   State: _____  Zip: __________
  13.  
  14.   Phone:   _________________________
  15.  
  16.   Fax:     _________________________
  17.  
  18.  
  19.   Description                                        Qty  Cost Each    Total
  20.   -------------------------------------------------  ---  ---------  ---------
  21.   x-MENU User Menu System for VINES                        $145.00
  22.  
  23.   Texas residents, please add 6.25% sales tax
  24.  
  25.   Please add $5.00 shipping/handling per package
  26.  
  27.   Please add $10.00 per package for overseas orders
  28.                                                                      ---------
  29.                                              Total funds enclosed   $
  30.  
  31.  
  32.   Notes: Each package contains software diskette and
  33.          desk-top-published user guide. Please specify
  34.          diskette type as follows:
  35.  
  36.                 5-1/4 inch low density [ ]
  37.                 3-1/2 inch low density [ ]
  38.  
  39.   Terms:
  40.  
  41.   Check or Money Order drawn on a USA bank in US funds.
  42.   Corporate Purchase orders (net 30) accepted from US and Canada.
  43.  
  44.   Mail with payment or FAX P.O. to:  Extensions Software
  45.                                      21175 Tomball Parkway #137
  46.                                      Houston, TX  77070
  47.                                      713-251-0224
  48.                                      713-251-3942 FAX
  49.  
  50.