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ORDER.FRM
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1992-03-16
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LapView (c)1992 Advance Systems * Norwood, PA * 215-532-0950
LapView Order Form
Purchase Order No.:_________ Date:__________
Company Name:__________________________________________________
Your Name:__________________________________________________
Street Address:__________________________________________________
City:________________________ State:____ Zip:__________
Telephone:(____)___________ Ext:______ FAX:(____)___________
Ship To:__________________________________________________
__________________________________________________
Address:__________________________________________________
City:________________________ State:____ Zip:__________
Version: [_] 1.01 $35.00 [_] 1.01-op $45.00 [_] 1.01-mt $365.00
Disk Size: [_] 5.25 DS/DD [_] 3.5 DS/DD
Comments:__________________________________________________
__________________________________________________
__________________________________________________
LapView
Advance Systems
Mail To: --------> 215 West Amosland Rd
Norwood, PA. 19074-1502
All Orders are shipped First Class Mail within 24 hours.