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/ Monster Media 1996 #14 / Monster Media No. 14 (April 1996) (Monster Media, Inc.).ISO / bbs_door / ts_se02b.zip / INVOICE.TXT < prev    next >
Text File  |  1996-02-04  |  3KB  |  91 lines
  1. WORKSHEET for processing order by: @TYPEORD@
  2. ------------------------------------------------------------------------------
  3. Name on BBS:            @BBSFNAME@
  4. BBS Name:               @BOARD@
  5. Date:                   @DATE@
  6. Time:                   @TIME@
  7. ------------------------------------------------------------------------------
  8. Type Card:              @CARDTYPE@       Card Expires: @CCEXPIRE@
  9. Card Number:            @CARDNUMBER@
  10. Authorization Number:   ____________
  11. Name on Credit Card:    @CCNAME@
  12. Street Address:         @STREET@
  13. City:                   @CITY@
  14. ZipCode:                @ZIP@
  15. Home Phone:             @HPHONE@
  16. Work Phone:             @WPHONE@
  17. Card Processor:         @PROCESSOR@
  18. State to charge tax:    @TAXSTATE@
  19. Tax Exemption Number:   @TAXEXEMPTNO@
  20. ------------------------------------------------------------------------------
  21. Items Ordered:                                                        PRICE
  22.  
  23. Qty   DESCRIPTION
  24.  
  25. @ITEMS@
  26.  
  27.                                           Subtotal:          @SUB_TOTAL@
  28.                                           Your Tax:          @TAX@
  29.                                           Shipping Costs:    @SHIPPING@
  30.                                           Handling %:        @HANDLING@
  31.                                                                    __________
  32.                                           Total -            @TOTAL@
  33. ------------------------------------------------------------------------------
  34. Type Account: @CKTYPECKACT@          - CHECK INFORMATION -
  35.                                                       NO. @CKCHECKNO@
  36.                      Drivers Lic/SSN @CKDLNUM@ @CKSSN@                                                        
  37. @CKCOMPANY@                                         
  38. @CKF_NAME1@ @CKL_NAME1@             
  39. @CKF_NAME2@ @CKL_NAME2@             
  40. @STREET@                            
  41. @CITY@, @STATE@, @ZIP@
  42. @HPHONE@                                                  @TOTAL@
  43.  
  44. @CKMEMO@ 
  45. Authorized by: @CKAUTHNAME@
  46. ------------------------------------------------------------------------------
  47. PAGE 1
  48.  
  49. PAGE 2
  50. ------------------------------------------------------------------------------
  51. BANK INFORMATION for @CKCOMPANY@  @CKAUTHNAME@
  52.  
  53.     Name of Bank:  @BANKNAME@
  54.   Street Address:  @BANKSTREET@
  55.             City:  @BANKCITY@, @BANKSTATE@  @BANKZIP@
  56.  Phone(if known):  @BANKPHONE@
  57.          routing:  @CKROUTENO@   Acct:  @CKACT@
  58. ABA Transit code:  @UPPERABA@/@LOWERABA@
  59. ------------------------------------------------------------------------------
  60.  
  61. Check guarantee service used for this transaction:(circle one)  YES  NO
  62.                                           Authorization number:________
  63. Notes:_________________________________________________________________
  64. _______________________________________________________________________
  65. _______________________________________________________________________
  66.  
  67. Check deposited on_________________ Hold order:____ days.
  68.         
  69. OK to ship______ Ship on:___________ VIA: @SHIPTYPE@
  70.  
  71. Attach/staple Check Duplicate below:
  72. -----------------------------------------------------------------------
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