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Text File  |  1995-02-07  |  5KB  |  60 lines
  1.     
  2.                                         ______________________________________
  3.  Send all orders to:                   |                                      |
  4.                                        |        O R D E R   F O R M           |
  5.    Paul R. Widergren                   |______________________________________|
  6.    P.O Box 13                          |  Date:            |  Order Number    |
  7.    Delafield, WI  53018                |                   |                  |
  8.    (414)569-5740                       |                   |                  |
  9.                                        |______________________________________| 
  10.  
  11. _____________________________________________________________________________  
  12. |  S                                   |  S                                  |
  13. |  O  _____________________________    |  H ______________________________   |
  14. |  L                                   |  I                                  |
  15. |  D  _____________________________    |  P ______________________________   |
  16. |                                      |                                     |
  17. |  T  _____________________________    |  T _____________________________    |
  18. |  O                                   |  O                                  |
  19. |____________________________________________________________________________|
  20. |      | Disk  |                                              |      |       |
  21. | QTY  | Size  |             PRODUCT DESCRIPTION              |PRICE | TOTAL |
  22. |______|_______|______________________________________________|______|_______|
  23. |      |       |                                              |   |  |    |  |
  24. |      |       | Wortleiter und so weiter (version 3.12)      |$29|95|    |  |
  25. |      |       | German word ladder with 7200 word dictionary |   |  |    |  |
  26. |      |       |   registered site license                    |   |  |    |  |
  27. |      |       |                                              |   |  |    |  |
  28. |      |       | Autogrammatik I:  Adjective Endings          |$19|95|    |  |
  29. |      |       |   registered site license                    |   |  |    |  |
  30. |      |       |                                              |   |  |    |  |
  31. |      |       | Autogrammatik II: Active / Passive Voice     |$19|95|    |  |
  32. |      |       |   registered site license                    |   |  |    |  |
  33. |      |       |                                              |   |  |    |  |
  34. |      |       | Es ist um die Zeit (version 1.0)             |   |  |    |  |
  35. |      |       |   registered site license                    |$19|95|    |  |
  36. |      |       |                                              |   |  |    |  |
  37. |      |       | Scalae Verborum (version 2.10)               |$29|95|    |  |
  38. |      |       | Latin Word Ladder with 3400 word dictionary  |   |  |    |  |
  39. |      |       |   registered site license                    |   |  |    |  |
  40. |      |       |______________________________________________|   |  |    |  |
  41. |      |       |                          | Please supply the |   |  |    |  |
  42. |      |       |     Disk size requested  | following         |   |  |    |  |
  43. |      |       |                          | information.      |   |  |    |  |
  44. |      |       |     o  5.25"    o  3.5"  |___________________|   |  |    |  |
  45. |      |       |                                              |   |  |    |  |
  46. |      |       |     Source of Shareware disk (if known)      |   |  |    |  |
  47. |      |       |                                              |   |  |    |  |
  48. |      |       |     __________________________________       |   |  |    |  |
  49. |      |       |                                              |   |  |    |  |
  50. |____________________________________________________________________________|
  51.  ____________________________________________________  |  SUB-TOTAL  |    |  |
  52. | REMARKS:                                           | |_____________|____|__|
  53. |   Wisconsin residents please add 5% sales tax.     | |  TAX        |    |  |
  54. |   Make checks and money orders payable to:         | |_____________|____|__|
  55. |     Paul R. Widergren                              | |  S & H      |  $2|00|
  56. |   Purchase Orders accepted from institutions.      | |_____________|____|__|
  57. |   Sorry, no credit cards.  Vielen Dank!            | |  TOTAL DUE  |    |  |
  58. |____________________________________________________| |_____________________|
  59.                                                                       2/07/95
  60.