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OS/2 Shareware BBS: Educate
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ORDER.FRM
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1995-02-26
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2KB
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39 lines
ORDER FORM
==========
Name ______________________________________________________________
Company(if applicable) ____________________________________________
Address ___________________________________________________________
City/Province ____________________ State _________ Zip ____________
Country (if outside US) ___________________________________________
Phone Number (optional) __________________
FAX Number (optional) __________________
Internet Address __________________________________________________
Place Where You Found Program _____________________________________
Additional Comments/Suggestions: __________________________________
___________________________________________________________________
___________________________________________________________________
___________________________________________________________________
┌────┬────────────────────────────────────┬───────┬────────────┐
│Qty.│Product │ Price │Qty. x Price│
├────┼────────────────────────────────────┼───────┼────────────┤
│____│Planets │ FREE │ FREE │
│____│NoteMan/2 │$10.00 │$________.00│
│____│QuoteMan/2 │$10.00 │$________.00│
│____│BMPMan/2 │$ 5.00 │$________.00│
│____│Hangman │$10.00 │$________.00│
│____│Other: ____________________________ │$10.00 │$________.00│
└────┴──────────────────────────────┬─────┴───────┼────────────┤
(Payment must be in U.S. funds) │ Grand Total │$________.00│
└─────────────┴────────────┘
Mail to: Everett Barnes
2430 Erie Drive
Concord, CA 94519
=== I appreciate your support! ===