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Text File  |  1995-04-13  |  2KB  |  57 lines

  1.                              ==================
  2.                              MindMan Order Form
  3.                              ==================
  4.  
  5.       ----------------------------
  6.       Ordering through CompuServe:
  7.       ----------------------------
  8.       If you want to order through CompuServe (GO SWREG) use
  9.       registration ID# 5510.
  10.       
  11.       --------------------------
  12.       Ordering with Credit Card:
  13.       --------------------------
  14.       If you want to order with Credit Card, call 1-800-242-4775
  15.       (1-713-524-6394) and use product number #11976. Or fax to
  16.       1-713-524-6398. You can also mail your credit card order
  17.       to: PsL, P.O. Box 35705, Houston, TX 77235-5705, USA.
  18.       
  19.       Number of copies:  ____   x  US$ 59.00     = _________ US$
  20.       
  21.       Shipping & Handling                        +      3.00 US$
  22.                                                    _____________
  23.         
  24.                                            Total:  _________ US$
  25.  
  26.       [ ] Visa   [ ] Mastercard   [ ] AMEX   [ ] Discover
  27.  
  28.       Name on card: ____________________________________________
  29.  
  30.       Card number:  ____________________________________________
  31.  
  32.       Expiration date: ___________   Bank: _____________________
  33.  
  34.       Date and Signature: ______________  ______________________
  35.  
  36.  
  37.       Name:    _________________________________________________
  38.  
  39.       Address: _________________________________________________
  40.  
  41.                _________________________________________________
  42.  
  43.                _________________________________________________
  44.  
  45.       Phone:   _________________________________________________
  46.  
  47.       Fax:     _________________________________________________
  48.  
  49.       ------------------------------------------
  50.       Ordering with Check, Cash, or Money Order:
  51.       ------------------------------------------
  52.       Make checks payable to CZAR Software in US$ drawn on a US
  53.       Bank and mail it to: CZAR Software
  54.                            P.O. Box 370087
  55.                            El Paso, TX 79937-0087
  56.                            USA
  57.