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/ Monster Media 1996 #14 / Monster Media No. 14 (April 1996) (Monster Media, Inc.).ISO / win_utl1 / mmem4b.zip / MEMORDER.TXT < prev    next >
Text File  |  1996-02-27  |  2KB  |  56 lines
  1.        
  2.     MoreMem 4.0b Order Form - U.S. & Foreign (except Europe, Austl. & Japan)
  3.  
  4.     To: Gamma Research, Inc.                (205) 533-7103 Sales (9-5 CST)
  5.         904 Bob Wallace Ave. Suite 212      (205) 881-5341 Tech Support
  6.         Huntsville, AL 35801-5648           (205) 881-5341 Fax
  7.         USA                                 gamma@traveller.com e-mail
  8.  
  9.         NOTE:  DO NOT SEND CREDIT CARD NUMBERS BY INTERNET E-MAIL.
  10.         CREDIT CARD NUMBERS SHOULD BE SENT BY FAX, MAIL, OR PHONE.
  11.  
  12.     From:
  13.         Name:             _____________________________________________
  14.  
  15.         Company:          _____________________________________________
  16.  
  17.         Street Address:   _____________________________________________
  18.  
  19.                           _____________________________________________
  20.  
  21.         City, State, Zip: _____________________________________________
  22.  
  23.         Country:          _____________________________________________
  24.  
  25.         Tel #:            _____________________________________________
  26.  
  27.         Fax #:            _____________________________________________
  28.  
  29.         e-mail Address:   _____________________________________________
  30.  
  31.                        Units:       1-9       10-99     100-499    500-
  32.              U.S. Price/Unit:       $40       $35       $30        Call
  33.     International Price/Unit:       $59       $52       $45        Call
  34.  
  35.         Quantity:         ________________
  36.                                               $0 to Mail Password
  37.         Shipping:         ________________    $5 per Disk ___3.5" ___5.25"
  38.                                              $15 for Overnight Disk
  39.         Total:            ________________   $35 for International Overnight
  40.  
  41.         Payment Method    ___Visa ___MC ___Amex ___Check ___Cash ___MO ___PO
  42.  
  43.         Credit Card #     _______   _______   _______   _______
  44.  
  45.         Expiration Date   _____ / _____
  46.  
  47.         Signature         _____________________________________________
  48.  
  49.     How did you hear about MoreMem ?   ________________________________
  50.  
  51.     Where did you get MoreMem ?        ________________________________
  52.  
  53.     Suggestions:          _____________________________________________
  54.  
  55.                           _____________________________________________
  56.