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Text File  |  1996-02-07  |  2KB  |  50 lines
  1. RVORDER.TXT        RPTVW (Report View) Order Form
  2. 02/06/96        (***CHECK OR MONEY ORDER ONLY***)
  3.                    (See Online Help for Credit Card Orders)
  4.                 FULL PRODUCT
  5.  
  6. Name:___________________________________________________________
  7.  
  8. Company:________________________________________________________
  9.  
  10. Address Line 1:_________________________________________________
  11.  
  12. Address Line 2:_________________________________________________
  13.  
  14. City:__________________________ State:_________    Zip:____________
  15.  
  16. Country:_____________________  Telephone _______________________
  17.  
  18. Fax:_______________________ Email Id: __________________________
  19. ________________________________________________________________
  20. Type of License        |Full Price US$    |  Qty    |Total Price US$
  21. ------------------------+---------------+-------+---------------
  22.     Individual License    |   US$40.00    |    |
  23. ________________________|_______________|_______|_______________
  24.     10 User        |  US$150.00    |    |
  25. ________________________|_______________|_______|_______________
  26.     100 User    |  US$450.00    |    |
  27. ________________________|_______________|_______|_______________
  28.     Single Server,    |            |    |
  29.     Unlimited User    |  US$700.00    |    |
  30. ________________________|_______________|_______|_______________
  31.             |            |    |
  32. ________________________|_______________|_______|_______________
  33.             |            |    |
  34.     Nebraska Sales Tax (if applicable)    |
  35. ========================================|=======|===============
  36.             TOTAL ORDER    |    |
  37. ________________________________________|_______|_______________
  38. Multiple Server and Company-Wide Licenses available.
  39. Contact DREC Software for pricing.
  40.  
  41. Ship via  ______Email    ______UPS   _______Regular Mail
  42.  
  43. How did you hear about RptVw? __________________________________
  44.  
  45. Send Order Form with Check or Money Order To:
  46.         DREC Software
  47.         1633 West A St
  48.         Lincoln NE
  49.         USA 68522-1259
  50. Make checks payable to Randall Cecrle.