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ORDER.TX_
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ORDER.TX
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Text File
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1995-11-29
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2KB
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45 lines
YOU MAY EDIT THIS FORM AND PRINT, OR PRINT AND COMPLETE IN PEN
----------------------------------------------------------------
PlanStar/CallStar Registration Form
I would like to purchase the product(s) shown below. Please ship
a licensed version to the following address:
NAME ________________________________________________________
ADDRESS ________________________________________________________
________________________________________________________
CITY_______________________STATE____ZIP________COUNTRY__________
DAYTIME PHONE (___)____-_______ EVENING PHONE (___)____-_______
QUANTITY UNIT PRICE COST
-------- ---------- ------
PlanStar _____ X $49.00 = $______
CallStar _____ X $20.00 = $______
PlanStar Gold (both of the above) _____ X $69.00 = $______
SUBTOTAL $______
VA Residents add 4.5% $______
Shipping (US $0, Outside US $5) $______
TOTAL $______
PAYING BY:
[ ] Check. On American bank, payable to HENNING ASSOCIATES
[ ] Credit card. [ ] VISA [ ] MasterCard
Card Number______________________________ Exp Date ___/___
Signature_________________________________________________
You may mail, phone, fax, or email a credit card order, as follows:
MAIL PHONE or FAX EMAIL
Henning Associates 800-823-6896 Compuserve 72176,2507
4542 Doylesville Road 804-823-6896 AOL MikerH1053
Crozet, VA 22932 MSN Henning_Associates
Internet mikerh1053@aol.com