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Text File  |  1992-08-20  |  1KB  |  43 lines
  1.  
  2.  
  3.                               DEDIT Order Form
  4.  
  5.  
  6.            Name:____________________________________________
  7.  
  8.            Company:_________________________________________
  9.  
  10.            Address:_________________________________________
  11.  
  12.            _________________________________________________
  13.  
  14.            City:______________________St:______Zip:_________
  15.  
  16.            Phone:(____)_____________Coutry:_________________ 
  17.  
  18.               Single Licenses: ____  @ $ 25.00: __________
  19.              
  20.               Site   Licenses: ____  @ $100.00: __________
  21.              
  22.               Printed Manuals: ____  @ $ 10.00: __________
  23.  
  24.                 Foriegn air shipping @ $  9.50: __________
  25.  
  26.                                          Total: __________
  27.  
  28.            
  29.               Please enclose check payable to Dale Sanford.
  30.  
  31.            Please specify disk size:   3.5 ____  5.25 ____
  32.  
  33.  
  34.            Where did you get your copy of DEDIT ? ___________
  35.  
  36.            __________________________________________________
  37.  
  38.  
  39.  
  40.                    Send To:    Dale Sanford, Owner
  41.                                Programing Solutions
  42.                                823 Russ Lake Drive
  43.                                Panama City, FL 32404