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Text File  |  1992-03-18  |  2KB  |  42 lines
  1. Remit to:  Brian Dluhy                              Order Form  #9203-OF01
  2.            PO BOX 376
  3.            Devault, PA  19432  USA
  4.  
  5.              ***  3+MHS Gateway version 0.99, March 1992  ***
  6.                    * Single-Server License Order Form *
  7.  
  8. NOTE: We offer quantity discounts and multiple-user licenses.
  9.       Call for details.
  10. --------------------------------------------------------------------------
  11. Send me:
  12.  
  13. ____ 3+MHS Gateway with Printed Manual.......... @ $295.00 ea  $ ______
  14.      Includes single-server licensed copy of software (Version
  15.      0.99) on dual (5.25/3.5) media, 90-day limited warranty,
  16.      spiral-bound indexed manual, free upgrade to version
  17.      1.00, low-cost upgrades.
  18.  
  19. SHIPPING (each copy)... US/Canada/Mexico: $3;  Overseas: $10   $ ______
  20.  
  21.                                                      SUBTOTAL  $ ______
  22.  
  23. Pennsylvania Residents please add Sales Tax ...........  @ 6%  $ ______
  24.  
  25.                          TOTAL (U.S. Funds drawn on U.S. Bank) $ ______
  26.  
  27. Payment by:  ( )CHECK   ( )MONEY ORDER
  28.  
  29. Name: _____________________________________________________________
  30.  
  31. Company (ONLY if company address):_________________________________
  32.  
  33. Address: __________________________________________________________
  34.  
  35.        : __________________________________________________________
  36.  
  37.        : __________________________________________________________
  38.  
  39. Voice Day Phone: ______________________ Evening: __________________
  40.  
  41. PRICES SUBJECT TO CHANGE WITHOUT NOTICE.  Call to confirm current prices.
  42.