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Text File  |  1991-06-09  |  2KB  |  51 lines

  1.                                   PERI-LINK
  2.                                5101 Halifax St.
  3.                             Little Rock, AR 72209
  4.  
  5.                        Master Symbols Disk- Order Form
  6.  
  7.                             Please: Print or Type
  8.                                                                       
  9.                                      
  10.                             Date:  ____/____/____
  11.                                    (MM   DD   YY)
  12.  
  13.  
  14.           Name __________________________________________________
  15.  
  16.           Company Name __________________________________________
  17.           [if applicable]
  18.  
  19.           Address _______________________________________________
  20.  
  21.           City _______________________ State _____ Zip __________
  22.  
  23.  
  24.              Please specify:        [ ] 5.25          [ ] 3.5
  25.  
  26.              Specify format:        [ ] DXF           [ ] SKD
  27.  
  28.  
  29.           Number of copies ______  @ $39.95 ea.   $ _____________
  30.           
  31.           For overseas shipping and handling    + $ _________5.00
  32.  
  33.           Total amount of this sale               $ _____________
  34.           
  35.           
  36.  
  37.                Send check or money order for the total amount
  38.                in U.S. funds only please. 
  39.  
  40.                For Canadian and overseas orders: Please remit 
  41.                a check or money order drawn on or payable 
  42.                through a U.S. bank.
  43.  
  44.  
  45.  
  46.                             Thank you very much!
  47.  
  48.  
  49.                  Please allow four to six weeks for delivery
  50.  
  51.