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Text File  |  1995-02-22  |  2KB  |  58 lines
  1. --------------------------- O R D E R   F O R M ---------------------------
  2.  
  3. Please send order form to:                                    CODE: 10000
  4.  
  5.    Software Store Products, Inc.
  6.    P.O. Box 562
  7.    Oakdale, N.Y. 11769-0562
  8.    U.S.A.
  9.  
  10.  
  11. Company: __________________________________________________________
  12.  
  13. Contact: __________________________________________________________
  14.  
  15. Address: __________________________________________________________
  16.  
  17.      __________________________________________________________
  18.  
  19.      __________________________________________________________
  20.  
  21. Phone:   ___________________________
  22.  
  23.  
  24.  
  25. The Video Store 2.0 ..................................... $75.00
  26.  
  27. Sales Tax (New York State Residents Only) ............... ______________
  28.  
  29. Shipping ................................................ FREE
  30.  
  31. Overseas Orders (Please add $5.00) ...................... ______________
  32.  
  33. Total Enclosed .......................................... ______________
  34.  
  35.  
  36. -----------------------CREDIT CARD ORDERS ONLY--------------------------
  37.  
  38. Card Type:    ___VISA   ___MASTERCARD  ___DINERS CLUB
  39.  
  40. Card #__________________________________________  Expiry date __________
  41.  
  42. Name of cardholder______________________________________________________
  43.  
  44. Signature___________________________________________  Date _____________
  45.  
  46. ------------------------------------------------------------------------                        
  47.  
  48.  
  49. Make Check or Money Order payable to:
  50.    Software Store Products, Inc.
  51.  
  52. (Please Note:  Payment must be made in United States funds)
  53.  
  54.  
  55. Please feel free to use opposite side of this form for comments or
  56. suggestions.
  57.  
  58.