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Text File  |  1996-11-11  |  3KB  |  56 lines
  1.      ------------ CMFiler CREDIT CARD ORDER FORM (v.6.04) -----------------
  2.  
  3.      Complete this form and mail to:    PsL
  4.                                         PO Box 35705
  5.                                         Houston, TX  77235-5705
  6.  
  7.             __            Or fax to:    713-524-6398
  8.            |  |
  9.      Send  |__|  copies of CMFiler, PsL Part# 10657, at a total price of
  10.            ____
  11.           |    |
  12.         $ |____|  ($30 for first copy, $15 each additional copy).
  13.  
  14.      Send on (check one):   3.5" [ ]      5.25" [ ]  diskettes.
  15.  
  16.      Send to:
  17.  
  18.      Name:___________________________________________ Date:________________
  19.  
  20.      Street:_______________________________________________________________
  21.  
  22.      City:____________________________________ State:______________________
  23.  
  24.      ZIP:_____________________ Country:____________________________________
  25.  
  26.      +--------------------------------------------------------------------+
  27.      |  PsL accepts MC, Visa, AmEx and Discover cards.  Please make sure  |
  28.      |  name is entered _EXACTLY_ as it is appears on the card.           |
  29.      |                                                                    |
  30.      | Master [ ]       Visa [ ]        AmEx [ ]        Discover [ ]      |
  31.      |                                                                    |
  32.      | Account number:___________________________ Expires:______________  |
  33.      |                                                                    |
  34.      | Name as it appears on card:______________________________________  |
  35.      |                                                                    |
  36.      | Signature:_______________________________________________________  |
  37.      |                                                                    |
  38.      | Billing Address: (Check if same as mailing address [ ])            |
  39.      |                                                                    |
  40.      | Street:__________________________________________________________  |
  41.      |                                                                    |
  42.      | City:__________________________________ State:___________________  |
  43.      |                                                                    |
  44.      | ZIP:___________________ Country:_________________________________  |
  45.      |                                                                    |
  46.      +--------------------------------------------------------------------+
  47.  
  48.      Alternatively, you may Email your order by CompuServe to PsL at
  49.      71355,470 (71355.470@compuserve.com on INTERNET), or telephone your
  50.      order to PsL by dialing 800-2424-PSL or 713-524-6394 and asking for
  51.      CMFiler, Part# 10657.
  52.  
  53.      These number are for taking credit card orders ONLY.  PLEASE DO
  54.      NOT REQUEST TECHNICAL ASSISTANCE OR ORDER STATUS FROM THESE NUMBERS.
  55.      Direct any such inquiriess to NoVaSoft at 703-221-1833 or 703-221-1471,
  56.      CompuServe 72130,1400 or INTERNET 72130.1400@compuserve.com.