home *** CD-ROM | disk | FTP | other *** search
/ The Arsenal Files 6 / The Arsenal Files 6 (Arsenal Computer).ISO / business / cstar101.zip / ORDER.TX_ / ORDER.TX
Text File  |  1995-11-29  |  2KB  |  45 lines
  1. YOU MAY EDIT THIS FORM AND PRINT, OR PRINT AND COMPLETE IN PEN
  2. ----------------------------------------------------------------
  3. PlanStar/CallStar Registration Form
  4.  
  5. I would like to purchase the product(s) shown below.  Please ship
  6. a licensed version to the following address:
  7.  
  8. NAME    ________________________________________________________    
  9.  
  10. ADDRESS ________________________________________________________
  11.  
  12.     ________________________________________________________
  13.  
  14. CITY_______________________STATE____ZIP________COUNTRY__________
  15.  
  16. DAYTIME PHONE (___)____-_______  EVENING PHONE (___)____-_______
  17.                  
  18.                  QUANTITY  UNIT PRICE     COST
  19.                  --------  ----------    ------
  20. PlanStar                           _____  X  $49.00  =  $______
  21. CallStar                           _____  X  $20.00  =  $______
  22. PlanStar Gold (both of the above)  _____  X  $69.00  =  $______
  23.      SUBTOTAL                                           $______
  24.      VA Residents add 4.5%                              $______
  25.      Shipping (US $0, Outside US $5)                    $______
  26.      TOTAL                                              $______
  27.      
  28. PAYING BY:
  29. [  ] Check.         On American bank, payable to HENNING ASSOCIATES
  30.  
  31. [  ] Credit card.   [  ] VISA  [  ] MasterCard
  32.  
  33.                     Card Number______________________________ Exp Date ___/___
  34.  
  35.                     Signature_________________________________________________
  36.  
  37. You may mail, phone, fax, or email a credit card order, as follows:
  38.  
  39. MAIL                       PHONE or FAX         EMAIL
  40.  Henning Associates         800-823-6896         Compuserve 72176,2507
  41.  4542 Doylesville Road      804-823-6896         AOL        MikerH1053
  42.  Crozet, VA 22932                                MSN        Henning_Associates
  43.                                                  Internet   mikerh1053@aol.com
  44.  
  45.