home *** CD-ROM | disk | FTP | other *** search
/ Monster Media 1994 #1 / monster.zip / monster / HEALTH / CARDBK10.ZIP / ORDER.FRM < prev    next >
Text File  |  1994-02-08  |  984b  |  29 lines
  1.          To place your order by mail, send check or money order to:
  2.  
  3.                                 DR. DUDLEY DARR 
  4.                               6352 CLINTON HIGHWAY
  5.                              KNOXVILLE, TN 37912 USA
  6.  
  7.  
  8.          Qty   Item                                  Each     Subtotal
  9.          ====  ===================================== ======== ========
  10.  
  11.          ____ _Cardiology_______Latest Version!_______$25.00_ ________
  12.  
  13.          Shipping & Handling____US/Canada/Mexico_______$5.00_ ________
  14.  
  15.          Shipping & Handling_________Overseas_________$10.00_ ________
  16.  
  17.          
  18.  
  19.                                                       Total: _________
  20.  
  21.          I received this program from: _______________________________
  22.                                       
  23.                                       ________________________________
  24.  
  25.          Overseas: Please send US funds drawn on a US bank, or postal
  26.          money order in US dollars.
  27.  
  28.  
  29.