home *** CD-ROM | disk | FTP | other *** search
/ Loadstar 128 16 / q16.d81 / ordform 16 < prev    next >
Text File  |  2022-08-28  |  2KB  |  62 lines
  1.                   LOADSTAR MARKETPLACE ORDER FORM
  2.  
  3.               OFFER #:MPLQ16 - Offer Expires 8/30/92
  4.                       (C64 - 5.25" DISKS)
  5.  
  6.               1 - 8 0 0 - 8 3 1 - 2 6 9 4  EXT. 4012
  7.  
  8. NAME/ITEM NO.                QUANTITY     PRICE        TOTAL 
  9. -------------------------------------------------------------
  10.  
  11. MUSIC BY MARQUIS  080625      -----   X   $9.95   =   -------
  12.  
  13. SONGSMITH  069525             -----   X  $19.95   =   -------
  14.  
  15. GRAPHICS GALLERY 2  070125    -----   X  $14.95   =   -------
  16.  
  17. GEOPOWER TOOLS  080525        -----   X  $19.95   =   -------
  18.  
  19.                                      SUBTOTAL $--------------
  20.  
  21. Louisiana residents please add 4% sales tax...$--------------
  22.  
  23. SHIPPING & HANDLING: UPS Ground - $3.50 up to 3 items;
  24. 50 cents each additional item.  Foreign: $5 first;
  25. 50 cents each additional item..................$-------------
  26.  
  27.                                     TOTAL DUE $--------------
  28.  
  29. CUSTOMER NUMBER------------------ (Look just above your name
  30. on the address card of your subscription pack.)
  31.  
  32. Name---------------------------------------------------------
  33.  
  34. Street Address-----------------------------------------------
  35.  
  36. Mailing Address----------------------------------------------
  37.  
  38. City---------------------------- State------- Zip------------
  39.  
  40. Country-------------------------- Country Mail Code----------
  41.  
  42. Phone(------)-------------------------
  43.  
  44. PAYMENT METHOD:
  45.  
  46. ----- Payment enclosed.  (Make check or money order payable to
  47. Softdisk Publishing in U.S. FUNDS ONLY.)
  48.  
  49. --------- Discover --------- Visa/MC  --------- Am Exp.
  50.  
  51. Account #------------------------- Exp. Date------------------
  52.  
  53. Signature-----------------------------------------------------
  54.                  (Allow 2-4 weeks for delivery.)
  55.  
  56.         Mail to:   SOFTDISK PUBLISHING
  57.                    PO BOX 30008
  58.                    SHREVEPORT  LA 71130-0008
  59.  
  60.  OR PHONE: 1-800-831-2694 Ext. 4012 or 1-318-221-8718 Ext. 4012
  61.                                                                             
  62.