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Text File  |  1998-04-15  |  1KB  |  45 lines

  1.    (12/97 9.02)                 ORDER FORM                                           
  2.  
  3.  
  4.  PC-FOOD II (one license)         $57.00  _______
  5.  
  6.       Additional licenses _____ @ $40.00  _______
  7.  
  8.  (One license is required for each
  9.   site utilizing PC-FOOD data.)
  10.  
  11.  Shipping & Handling    U.S.       $2.00  _______
  12.  (S&H is per order)
  13.                         Canada     $3.00  _______
  14.  
  15.                         All others $5.00  _______
  16.                         
  17.                           Total enclosed  _______
  18.  
  19.   
  20.  PAYMENT with CHECK or MONEY ORDER Mail to:
  21.                                
  22.                           SCHRECK SOFTWARE
  23.                         1420 Interlachen Cir. 
  24.                          Woodbury MN  55125
  25.                    
  26.             Name: ________________________________
  27.  
  28.          Company: ________________________________
  29.  
  30.          Address: ________________________________
  31.  
  32.                   ________________________________
  33.  
  34.                   ________________________________
  35.  
  36.            Phone: ________________________________
  37.  
  38.              FAX: ________________________________
  39.  
  40.            Email: ________________________________
  41.  
  42.  
  43.                       Thank you for your order!
  44.  
  45.