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qpay15.zip
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ORDER.FRM
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Text File
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1996-03-26
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2KB
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44 lines
Date of Order____________________
Software Order To:
J'Adoube
3335 East 4090 South
Salt Lake City, UT. 84124
(801) 277-6776
From: (Please print or type all information.)
Name ___________________________________________________________________
Company ________________________________________________________________
Address ________________________________________________________________
City________________________St/Prov_______Code_________Country__________
(if not U.S.A.)
CompuServe No. or Internet address, if any _____________________________
Qty: ___ Quick-Payment, latest version .. @ $94.95 ea. $ ______.___
(Includes a disk with the latest authorized version & on-disk documentation.)
3.5" 1.44 disk is automatically sent, unless a 5.25" 1.2
disk is otherwise specifically requested: _______________
Shipping & handling -- $4.00 in U.S.A.,
$9.00 outside U.S.A.: $ ____.__
TOTAL (check or money order enclosed): $ ____.__
Terms:
Check or money order in U.S. dollars, drawn on a U.S. bank branch.
Purchase orders must be accompanied by remittance in order to keep the
prices as reasonable as possible. Prompt shipment is generally made
via First Class Mail or commercial parcel service.
Where did you obtain your current copy of Quick-Payment?
Source_____________________________ City_________________ ST/Prov_______
Thank you for your order.