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Text File  |  1996-05-31  |  2KB  |  55 lines
  1. PrimeOut Order Form                           PrimeOut v1.0
  2. ===========================================================
  3.  
  4. Print this form and mail it (with your check or money order
  5. in US funds) to:
  6.  
  7. Prime Software
  8. P.O. Box 851
  9. Manville, NJ 08835 USA
  10.  
  11.                     Date_______________
  12.  
  13. Your Name:_________________________________________________
  14.  
  15. Address:  _________________________________________________
  16.  
  17. City:     _________________________________________________
  18.  
  19. State:    ________  Zip Code: ___________  Country: _______
  20.  
  21. E-Mail Address or telephone: ______________________________
  22.  
  23.  
  24. Enclose $20.00 (check or money order in US funds) for each
  25. copy of PrimeOut being ordered.  Your copy of PrimeOut will
  26. be E-Mailed to you.  If you would like PrimeOut sent to you
  27. on a 3.5" diskette please add $5.00 for shipping and
  28. handling.
  29.  
  30. Number of copies: _______ x $20.00   =   $_____________
  31.  
  32. Add $5.00 if you require a diskette.     $_____________
  33.  
  34. New Jersey residents add 6% sales tax.   $_____________
  35.  
  36. TOTAL:                                   $_____________
  37.  
  38.  
  39. Where did you get your copy of PrimeOut? Please include
  40. section or forum name. (ie. CompuServe-WINSHARE Forum, 
  41. WWW-www.windows95.com):
  42.  
  43. ___________________________________________________________
  44.  
  45. ___________________________________________________________
  46.  
  47.  
  48. Comments or questions: ____________________________________
  49.  
  50. ___________________________________________________________
  51.  
  52. ___________________________________________________________
  53.  
  54. THANKS FOR YOUR SUPPORT!
  55.