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Text File  |  1993-01-20  |  2.3 KB  |  53 lines
  1.                         ORDER FORM
  2.  
  3.  
  4. Name:_______________________________________________________
  5.  
  6. Address:____________________________________________________
  7.  
  8. City:_____________________________________
  9.  
  10. State:________  Zip:________
  11.  
  12.  
  13. Please send the following products:
  14.  
  15. +----+-----------------------+--------+-----------+---------+
  16. |    |                       |        |           |         |
  17. |Qty.| Product Description   |  Price |  Shipping |  Total  |
  18. |    |                       |  Each  |   Each    |         |
  19. |    |                       |        |           |         |
  20. +----+-----------------------+--------+-----------+---------+
  21. |    |                       |        |           |         |
  22. |    | MathMan Plus          | free   |  $3.50    |         |
  23. |    | ( Shareware version ) |        |           |         |
  24. +----+-----------------------+--------+-----------+---------+
  25. |    |                       |        |           |         |
  26. |    | MathMan Plus          | $29.95 |  free     |         |
  27. |    | ( Registered version )|        |           |         |
  28. +----+-----------------------+--------+-----------+---------+
  29. |    |                       |        |           |         |
  30. |    |                       |        |           |         |
  31. |    |                       |        |           |         |
  32. +----+-----------------------+--------+-----------+---------+
  33.                                        Subtotal   |         |
  34.                                                   +---------+
  35.          Tennessee residents add 8.5% sales tax   |         |
  36.                                                   +---------+
  37.      Orders outside the U.S. and Canada add 15%   |         |
  38.                                                   +---------+
  39.                                  Total enclosed   |         |
  40.                                                   +---------+
  41.  
  42. Disk Format:                 Where did you obtain this program?
  43. [ ] 5.25 inch                __________________________________
  44. [ ] 3.5 inch                 __________________________________
  45.                              __________________________________
  46.                              __________________________________
  47. Order from:
  48.  
  49. Daniel Cymbala, CymSystems
  50. P.O. Box 92128
  51. Nashville, TN  37209
  52.  
  53.