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Text File  |  1990-02-10  |  2KB  |  53 lines
  1.      Telix v3.12 Mouse System                          Order Form
  2.  
  3.  
  4.  
  5.      Telix v3.12 Mouse System
  6.      ────────────────────────────────────────────────────────────
  7.      Adr: Brent Williams. 32 Quincy Cres., Toronto, Ont.  M2J 1C4
  8.      ────────────────────────────────────────────────────────────
  9.  
  10.      Quan      Includes                      Cnd/US         Price
  11.  
  12.      ___       TMS on a 5 1/4 disk,      @     $15+         $____
  13.                customization option
  14.                (See below)           
  15.                                     
  16.                                        
  17.  
  18.  
  19.                          Checks Accepted
  20.  
  21.      ────────────────────────────────────────────────────────────
  22.  
  23.      Name________________________________________________________
  24.  
  25.      Company_____________________________________________________
  26.  
  27.      Address_____________________________________________________
  28.  
  29.             _____________________________________________________
  30.  
  31.      Phone (_______)_______________ Bus. (_______)_______________
  32.  
  33.      Where did you obtain TMS?
  34.         
  35.             _____________________________________________________
  36.  
  37.      Comments/Suggestions for Improvement
  38.             _____________________________________________________
  39.    
  40.             _____________________________________________________
  41.    
  42.             _____________________________________________________
  43.  
  44.      Requested Customization (Optional)
  45.             _____________________________________________________
  46.  
  47.             _____________________________________________________
  48.  
  49.             _____________________________________________________
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