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Text File  |  1991-07-16  |  5KB  |  60 lines
  1. +----------------------------------------------------------------------------+
  2. |            T r a d e   W a r s   2 0 0 2   O r d e r   F o r m             |
  3. |                                                                            |
  4. |                                                                            |
  5. |        Complete the blanks and mail to the author's address below.         |
  6. |                                                                            |
  7. |                                                                            |
  8. |        Real Name ___________________________________________________       |
  9. |                                                                            |
  10. |                                                                            |
  11. |        Street Address ______________________________________________       |
  12. |                                                                            |
  13. |                                                                            |
  14. |        City, State & ZIP ___________________________________________       |
  15. |                                                                            |
  16. |                                                                            |
  17. |        Voice or Home Phone (_____)__________________                       |
  18. |                                                                            |
  19. |                                                                            |
  20. |        BBS or Data Phone   (_____)__________________                       |
  21. |                                                                            |
  22. |                                                                            |
  23. |        BBS Name ____________________________________________________       |
  24. |                                                                            |
  25. |                                                                            |
  26. |        BBS Type and version number _________________________________       |
  27. |                                                                            |
  28. |                                                                            |
  29. |        Your Handle _________________________________________________       |
  30. |                                                                            |
  31. |                                                                            |
  32. |        Registration for TW2002  Inside the U.S.A.          $15.00          |
  33. |                                 Kansas residents add          .64 SalesTax |
  34. |                                 Outside the U.S.A.         $20.00 U.S.$    |
  35. |                     All funds must be drawn on U.S. Banks.                 |
  36. |                                                                            |
  37. |        Print and mail this form with check or money order only to:         |
  38. |                                                                            |
  39. |        Martech Software, Inc.                                              |
  40. |        134 Indian Avenue                                                   |
  41. |        Lawrence, Kansas  66046                                             |
  42. |                                                                            |
  43. |        Please allow 3-4 weeks for delivery.                                |
  44. |                                                                            |
  45. |        ** VISA and MasterCard Accepted!**  Send this form with the         |
  46. |        information below to the address  shown above or send it to         |
  47. |        our FAX number at (913)842-7818                                     |
  48. |                                                                            |
  49. |                                                                            |
  50. |        Card Number _________________________________________________       |
  51. |                                                                            |
  52. |        VISA ____  MasterCard ____ Expiration Date __________________       |
  53. |                                                                            |
  54. |        Name (as it appears on the card)_____________________________       |
  55. |                                                                            |
  56. |        Signature ___________________________________________________       |
  57. |1.03                                                                        |
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