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Text File  |  1995-03-30  |  2KB  |  57 lines
  1.  
  2.     ========================================================================
  3.     *** Evaluation Copy ***         ORDER FORM         Wed  03/29/95 Page  1
  4.     ========================================================================
  5.  
  6.     MAIL, CALL, FAX, E-MAIL ORDERS TO:
  7.                                       
  8.         Public (software) Library      Phone:      800-242-4775
  9.         P.O. Box 35705                 Phone:      713-524-6394
  10.         Houston, Texas 77235 U.S.A.    FAX:        713-524-6398
  11.                                       
  12.         CompuServe: 71355,470     Internet: 71355.470@compuserve.com
  13.     
  14.     
  15.     ORDERED BY: (if paying by credit card,
  16.                  please give address of cardholder)
  17.                  
  18.         Name:__________________________________________________________
  19.         Company:_______________________________________________________
  20.         Address:_______________________________________________________
  21.         City:__________________________________________________________
  22.         State:___________  Country__________  Postal Code:_____________
  23.         Phone:_________________________  FAX:__________________________
  24.     
  25.         Name of Primary User of this Product  (for technical support
  26.           and  security purposes):   __________________________________
  27.     
  28.     PRODUCTS ORDERED:
  29.     
  30.         1) Business Clock Link v1.4 Site License,
  31.            Printed Manager's Guide (manual),
  32.            Technical Support                        $149.00  __________
  33.     
  34.         2) Shipping: $4 USA & Canada, $8 International       __________
  35.     
  36.         Total Amount (U.S. Dollars)                          $
  37.                                                              ========== 
  38.     DISKETTE SIZE NEEDED:   ___ 3.5"   ___ 5.25"
  39.     
  40.     METHOD OF PAYMENT:
  41.     
  42.         [ ] Check  [ ] VISA   [ ] MC   [ ] Am Express   [ ] Discover
  43.     
  44.         Card Number: ________________________________________________
  45.     
  46.         Expiration Date: ________ Signature: ________________________
  47.     
  48.     SEND INQUIRIES, SUGGESTIONS AND COMMENTS TO:
  49.     
  50.         BizMark Development
  51.         P.O. Box 182
  52.         Princeton, LA 71067-0182 U.S.A.
  53.                                     America Online: BizMarkDev
  54.         Phone: (318) 949-4399       CompuServe: 70262,114
  55.         FAX:   (318) 949-4400       Internet: 70262.114@compuserve.com
  56.         
  57.