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Text File  |  1992-10-28  |  2KB  |  50 lines
  1.                         Shippers Plus Order Form
  2.                         Effective November 1st, 1992
  3.                        -------------------------------
  4.  
  5.  
  6.           Registration fee:   $20.00 ea           $ __________
  7.  
  8.           Shipping & Handling: $2.00 ea           $ __________
  9.                                                 -----------------
  10.  
  11.                       Total amount enclosed:      $ __________
  12.  
  13.  
  14.           When you register, you'll receive a disk with the latest version
  15.           of Shippers Plus, customized for your company.
  16.  
  17.           Please enclose your check or money order in U.S. funds, made
  18.           out to "Wayne Langford,"  with this form, and mail it to:
  19.  
  20.                              Wayne Langford
  21.                          633 W. Vandament #146
  22.                             Yukon, OK 73099
  23.  
  24.                Your Name: ________________________________________
  25.  
  26.             Company Name: ________________________________________
  27.  
  28.           Street Address: ________________________________________
  29.  
  30.                     City: ________________________________________
  31.  
  32.                    State: _____________ Zip Code: _________________
  33.  
  34.         Telephone number: ____________________________
  35.  
  36.         Electronic Mail Address (if any): ________________________________
  37.  
  38.         Where did you get your copy of Shippers Plus?  ___________________
  39.  
  40.         __________________________________________________________________
  41.  
  42.         Type of Computer __________________  CPU _________ RAM ___________
  43.  
  44.         Suggestions/Comments: ____________________________________________
  45.  
  46.         __________________________________________________________________
  47.  
  48.         __________________________________________________________________
  49.  
  50.