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/ Software USA 5 #5 / Software USA Volume 5.05.iso / mac / Bonus / Software Catalog / order / order.txt
Text File  |  1999-04-07  |  2KB  |  35 lines
  1. Software USA - Software Order Form
  2. Shipping and Billing information (Please Print)
  3. Name
  4. ______________________________________________________________
  5. Address
  6. ______________________________________________________________
  7. City/Town
  8. ______________________________________________________________
  9. State/Province Postal/Zip Code
  10. _____________________________ ________________________________
  11. Country
  12. ______________________________________________________________
  13. Phone Number Member #
  14. (______)_____________________ ________________________________
  15. Payment Methods (Credit Card ONLY)
  16. [ ] MasterCard [ ] Visa [ ] American Express [ ] Discover
  17. Credit Card Number:_______________________________Expiration date:______/______/______
  18. Signature:______________________________________________________
  19. Mail completed form to:
  20. Software USA
  21. Attn: Software Catalog
  22. 9909 Huennekens Street - Suite 200
  23. San Diego, CA 92121-2929
  24. Software Titles Ordered
  25. Quantity - Program Title - Price
  26. ________ - ______________________________________________________ - ______________
  27. ________ - ______________________________________________________ - ______________
  28. ________ - ______________________________________________________ - ______________
  29. ________ - ______________________________________________________ - ______________
  30. ________ - ______________________________________________________ - ______________
  31. ________ - ______________________________________________________ - ______________
  32. Subtotal $_____________
  33. Sales Tax $____________ (7.75% - CA residents only)
  34. Shipping $_____________ [ $3.50 for every two titles ordered ]
  35. Total $________________