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Text File  |  1993-09-21  |  3.0 KB  |  58 lines
  1.                              Company Name Here
  2.                                 Adress here
  3.                          Place City State & zip here
  4.  
  5.  
  6.  
  7.                5 1/4 " DISKS                           3 1/2 " DISKS
  8.                -------------                           -------------
  9.                  $0.00 ea.                                $0.00 ea.
  10.  
  11.              SHIPPING & HANDLING:   $ 0.00   per order.
  12.          Outside continental U.S. $ 0.00 plus actual mailing costs.
  13.  
  14.  
  15.    NAME __________________________________  PHONE # _______________________
  16.  
  17.    ADDRESS ________________________________________________________________
  18.  
  19.    CITY _____________________________ STATE ________ ZIP CODE  ____________
  20.  
  21.    Please specify disk size needed when ordering.
  22.    _________________________________________________________________________
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  24.    |--------|--------|--------|--------|--------|--------|--------|--------|
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  38.    |--------|--------|--------|--------|--------|--------|--------|--------|
  39.  
  40.    Please use additional forms if necessary.
  41.  
  42.                   ENTER NUMBER OF 5 1/4" DISKS  _____  x $0.00 =
  43.                                                                   -----------
  44.                   ENTER NUMBER OF 3 1/2" DISKS  _____  x $0.00 =
  45.                                                                   -----------
  46.    {Your State} residents add 0.00% sales tax  - .0000 x line 3 =
  47.                                                                   -----------
  48.                                                        SubTotal =
  49.                                                                   -----------
  50.         Please pay with:                    SHIPPING & HANDLING ->  $ 0.00
  51.         Check -- Money Order                                      -----------
  52.         or Travelers Check          TOTAL DUE -- TOTAL ENCLOSED ->
  53.                                                                   -----------
  54.  
  55.                 ** THANK YOU FOR CHOOSING {Company Name}
  56.  
  57.  
  58.