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PURGE.ORD
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1994-01-01
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2KB
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63 lines
TO ORDER: CALL TOLL-FREE 1-800-707-5148
=======================================
INVOICE/REGISTRATION FORM
PURGE - VERSION 2.22
Enter the following:
a) Total number of copies = ___
b) Enter number of copies (2 OR LESS) ___ x $69.95 = _____
c) Enter number of copies (MORE THAN 2) ___ x $19.95 = _____
d) Subtotal = _____
e) KY residents: add 6% KY sales tax = _____
f) Enter S/H = $3.00
g) Total Due = _____
Please make your check or money order payable to:
Blue Ridge Software, Inc.
Non-US customers may pay in cash or certified bank draft
in U.S. dollars.
Mail to:
Blue Ridge Software, Inc.
235 Southport Drive
Lexington, KY 40503
Credit Card Customers:
----------------------
VISA / Mastercard / AMEX (circle one)
Card number: ____________________________________
Expiration date: ________
Signature: _____________________________________ (Must be signed)
Shipping Address:
-----------------
Name:____________________________________________________________
Company name:____________________________________________________
Address:_________________________________________________________
City/State/Zip/Country:__________________________________________
Your order will be shipped within a few days of the receipt
of this form. Special shipping conditions can be arranged
if an order is placed by phone for PO customers.
THANKS FOR YOUR ORDER!