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/ 501 Great Games / 501 Great Games - Volume One (2001)(Guildhall Leisure Services).iso / HANGEM / 6122.EXE / INVOICE.DOC < prev    next >
Text File  |  1992-12-07  |  2KB  |  56 lines
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  10.                                INVOICE
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  13.         Remit to:                                    From:
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  15.         Eric Jarrett                        ______________________
  16.         P.O. Box 34749,                     ______________________
  17.         Richmond, VA. 23234                 ______________________
  18.                                             ______________________
  19.  
  20.                                              Contact Person:
  21.                                             ______________________
  22.                                             ______________________
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  24.         (For "X-Rated" version: I am over 21):____________________
  25.          ___Male___Female hanging victim.
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  27.        Check Below:        (U.S. Funds Only, please!)
  28.   
  29.        _________ Register HANGEM 1.0--------------------: __$_____ 
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  31.                                                 
  32.                                                 Total:    ________
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  36.        Disk Size___3.5___5.25************************************
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  38.        
  39.        NOTE: HANGEM 1.0 has already been delivered. This invoice is for
  40.              additional items as specified.
  41.  
  42.        ___Check here if you would like information on other
  43.           offerings.
  44.   
  45.       OPTIONAL: In order for us to know where our most successful outlets
  46.       are for our software, we request the name of the catalog or BBS from
  47.       which you obtained your copy. (Not REQUIRED)
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  49.                             _____________________________________________
  50.                             _____________________________________________
  51.                             _____________________________________________
  52.                             _____________________________________________
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