home *** CD-ROM | disk | FTP | other *** search
/ Magnum One / Magnum One (Mid-American Digital) (Disc Manufacturing).iso / d13 / rent113.arc / ORDER.FRM < prev    next >
Text File  |  1990-10-15  |  5KB  |  64 lines

  1.  ╔════════════════════════════════════════════════════════════════════════════╗
  2.  ║                  U N D E R G R O U N D    M I R A C L E                    ║
  3.  ║                            O  R  D E R    F O R M                  VOL 113 ║
  4.  ╠══════════════════════════════════════╦═════════════════════════════════════╣
  5.  ║           ORDER INFORMATION          ║ # of 5¼" disk _____ x$2.50 = $_____ ║
  6.  ║        (PLEASE PRINT CLEARLY)        ║ # of 3½" disk _____ x$4.00 = $_____ ║
  7.  ║     Please give Shipping address     ║ Blank 360K disk ___ x$0.40 = $_____ ║
  8.  ║    [USA Continental Address Only]    ║ Blank 1.2M disk ___ x$0.60 = $_____ ║
  9.  ║                                      ║ Less credit(Approval needed) $_____ ║
  10.  ║ NAME  _____________________________  ║ Shipping & Handling          $ 5.00 ║
  11.  ║                                      ║ US Express Mail  add $15.00  $_____ ║
  12.  ║ ADDRESS ___________________________  ║                                     ║
  13.  ║                                      ║                     TOTAL = $______ ║
  14.  ║ CITY ____________ ST ___ ZIP ______  ╠═════════════════════════════════════╣
  15.  ║                                      ║  Checks,money order/cash accepted   ║
  16.  ║ SIGNATURE____________ DATE ________  ║  Please make payment payable to:    ║
  17.  ║                                      ║           **  K. CHUNG  **          ║
  18.  ║                PRICES                ║             P.O.BOX 7600            ║
  19.  ║  $2.50:5¼" 360K      $5.00:5¼" 1.2M  ║           ALBANY CA 94707           ║
  20.  ║            $3.00:3½" 720K            ║                                     ║
  21.  ║       [ NO FORMAT CONVERSION ]       ╚═════════════════════════════════════╣
  22.  ║                                                                            ║
  23.  ║ DISK#  PROGRAM  #DISKS    DISK#  PROGRAM  #DISKS    DISK#  PROGRAM  #DISKS ║
  24.  ║                                                                            ║
  25.  ║ ______ __________ ____    ______ __________ ____    ______ __________ ____ ║
  26.  ║                                                                            ║
  27.  ║ ______ __________ ____    ______ __________ ____    ______ __________ ____ ║
  28.  ║                                                                            ║
  29.  ║ ______ __________ ____    ______ __________ ____    ______ __________ ____ ║
  30.  ║                                                                            ║
  31.  ║ ______ __________ ____    ______ __________ ____    ______ __________ ____ ║
  32.  ║                                                                            ║
  33.  ║ ______ __________ ____    ______ __________ ____    ______ __________ ____ ║
  34.  ║                                                                            ║
  35.  ║ ______ __________ ____    ______ __________ ____    ______ __________ ____ ║
  36.  ║                                                                            ║
  37.  ║ ______ __________ ____    ______ __________ ____    ______ __________ ____ ║
  38.  ║                                                                            ║
  39.  ║ ______ __________ ____    ______ __________ ____    ______ __________ ____ ║
  40.  ║                                                                            ║
  41.  ║ ______ __________ ____    ______ __________ ____    ______ __________ ____ ║
  42.  ║                                                                            ║
  43.  ║ ______ __________ ____    ______ __________ ____    ______ __________ ____ ║
  44.  ║                                                                            ║
  45.  ║ ______ __________ ____    ______ __________ ____    ______ __________ ____ ║
  46.  ║                                                                            ║
  47.  ║   * All Commercial Software must be returned within 14 days.               ║
  48.  ╠════════════════════════════════════════════════════════════════════════════╣
  49.  ║ YOUR COMPUTER CONFIGURATION - For first time order or any hardware changes ║
  50.  ╟────────────────────────────────────────────────────────────────────────────╢
  51.  ║ CPU TYPE: 8088 __   80286 __   80386(SX) __   80486 __   Others___________ ║
  52.  ║ VIDEO TYPE:  MONO  ___  CGA  ___  EGA  ___  VGA  ___     Others___________ ║
  53.  ║ DRIVES TYPE: 360K  ___  720K ___  1.2M ___  1.4M ___  HARD DISK ________MB ║
  54.  ║ RAM SIZE _____ MB     EXTENDED MEMORY _____ MB    EXPANDED MEMORY _____ MB ║
  55.  ║ ADD-ON DEVICES: MOUSE ___  JOYSTICK ___  MODEM ____BAUD  OTHERS __________ ║
  56.  ╚════════════════════════════════════════════════════════════════════════════╝
  57.  
  58.  
  59.  
  60.  
  61.  
  62.  
  63.  
  64.