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ORDER.ME
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Text File
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1994-04-10
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1KB
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56 lines
[ ] Yes! Send me my copy of NewEntryField
Name:_________________________________________
Title:________________________________________
Company:______________________________________
Address:______________________________________
City:_________________________________________
State:___________________ Zip:_______________
Phone:________________________________________
Fax:__________________________________________
Calculate the total cost:
NewEntryField for OS/2 $78.00 _______
NewEntryField for OS/2 $133.00 _______
including Smalltalk/V and
PARTS/V support
Shipping and handling $10.00 _______
Taxes
California residents 8.25% _______
Total _______
How you would like to pay:
[ ] Check or Money Order (enclosed)
[ ] VISA
[ ] MasterCard
Card Number _____________________________________
Expiration Date _________________________________
Name on Card ____________________________________
Signature _______________________________________