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ORDER.DOC
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1991-12-17
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2KB
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62 lines
ORDER FORM
Micro Tech Specialists
P.O. Box 1885
Corvallis, OR 97339
QUANTITY PRICE PRICE
DESCRIPTION 3.5"/5.25" EACH EXTENDED
------------------------------------------------------------------------
(Evaluation Copies are for evaluation only; Registered Copies include
latest released working program, detailed documentation and support.)
POLYROOT Evaluation Copy ___/___ $ 5.00 $_______
POLYROOT Registered Copy ___/___ $20.95 $_______
SUBTOTAL: $_______
SHIPPING: $__3.50_
COD: $3.50 * UPS 2-DAY AIR: $5.00 * Foreign: $15.00: $_______
TOTAL $_______
_________________________________________________________________________
NAME___________________________________________ DATE___________________
COMPANY_______________________________________ PHONE___________________
UPS ADDRESS__________________________MAILING ADDRESS___________________
CITY_______________________________________STATE_________ZIP___________
SIGNATURE___________________________
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*** Please make checks payable to : MOUSSAOUI
*************************************************
**********************************************************************
We would also appreciate any input you would care to offer about
our programs. If you have any ideas or comments that would make
them better programs, please let us know.
______________________________________________________________________
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