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Text File  |  1994-01-13  |  2KB  |  53 lines

  1.                 THE LAWN MOWER SHOP              
  2.                 Order  Form
  3.  
  4.  
  5.  
  6.     Fill out the information below, total your order, mail
  7.     or fax the form and your certified check, money order,
  8.     or credit card information (Visa or Master Card only).
  9.  
  10.  
  11.  
  12. Mail to :  DIY Software Inc.                      Phone (803) 859-1678
  13.        6432 Calhoun Memorial Hiway            Fax   (803) 859-0666
  14.        Easley, SC       29640                 Time Zone - E.S.T    
  15.  
  16.  
  17.  
  18. Your Name  ___________________________________________________________
  19.  
  20. Company  _____________________________________________________________
  21.  
  22. Address  _____________________________________________________________
  23.  
  24. ______________________________________________________________________
  25.  
  26. ______________________________________________________________________
  27.  
  28. Acquired Shareware Version From: _____________________________________
  29. (Friend, Software Labs, Compuserve BBS, etc.)
  30.  
  31.  
  32.  
  33. Charge Card Info.
  34.  
  35. __Visa __ MC    Card#______________________________ Exp. Date_________
  36.  
  37. Signature ______________________________  Phone# (_____)______________
  38.  
  39.  
  40.  
  41.     ******************************************************
  42.  
  43.  
  44.  
  45. Amt.                                          Cost          Extension
  46. Ord'd                                         Each               Cost                                                                          
  47. ____ The Lawn Mower Shop Registration       $ 25.00        $  ________
  48.                         
  49.               Shipping & Handling, Per Order   $      5.00
  50.  
  51.            South Carolina Residents add  5%  tax   $  ________
  52.                                          Indicate Disk Format  __ 3.5" __ 5.25"            Total   $  ________
  53.