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Text File  |  1996-01-13  |  2KB  |  57 lines
  1. SmartDelete 1.2 Order Form
  2. **************************
  3.  
  4. Send this form to:     From:
  5.  
  6. Mikhail Gershkovich    Name:_________________________________________________
  7. 2145 Ocean Ave. #B2
  8. Brooklyn, NY  11229    Company:______________________________________________
  9. USA                   
  10.                        Title:________________________________________________
  11.  
  12.                        Street Address:_______________________________________
  13.  
  14.                        City______________________ State:____ Zip Code:_______
  15.  
  16.                        Country:______________________________________________
  17.  
  18.                        Phone: (____)_____________  Fax: (____)_____________  
  19.  
  20.                        InterNet E-Mail:______________________________________
  21.  
  22.  
  23. Please specify the media size for your free upgrade. If you order current re-
  24. lease on disk also, the same media size will be used.
  25.  
  26. Please specify media size: [ ] 360KB  5 1/4 
  27.                            [ ] 1.2MB  5 1/4
  28.                            [ ] 720KB  3 1/2
  29.                            [ ] 1.44MB 3 1/2
  30.  
  31. Qty  Product Name                            Price 
  32. ---  ------------                            -----
  33. ___  SmartDelete 1.2 @ $10         =         _____
  34.        
  35.      Shipping and Handling @ $3(*) =         _____
  36.      
  37.                         Sub-Total  =         _____
  38.       
  39.  
  40.       Residents of NY State add 
  41.       8.25% sales tax              =         _____
  42.  
  43.       Total                        =         _____
  44.  
  45. * $3 S&H charges only include free upgrade. If you'd like to receive the disk
  46. for current release as well, please add $2.
  47.  
  48. Make checks or money orders payable to:
  49.  
  50. Mikhail Gershkovich
  51. 2145 Ocean Ave. #B2
  52. Brooklyn, NY  11229
  53. USA
  54.  
  55. All payments should be drawn on a US Bank in US Funds.  
  56. *****************************************************************************
  57.