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Text File  |  1994-04-02  |  2KB  |  50 lines
  1.  
  2.                         VITRON'S POPIT INVOICING SYSTEM
  3.                           INVOICE & REGISTRATION FORM
  4.  
  5.     Please Remit To:
  6.     F. Levine
  7.     VITRON Management Consulting, Inc.
  8.     11-33 Jackson Ave.
  9.     Scarsdale, NY 10583
  10.  
  11.     From (Please Print or Type):
  12.  
  13.     Name _______________________________________________________________
  14.  
  15.     Company ____________________________________________________________
  16.  
  17.     Title ______________________________________________________________
  18.  
  19.     Address ____________________________________________________________
  20.  
  21.             ____________________________________________________________
  22.  
  23.     City ____________________________ State ___________ Zip ____________
  24.  
  25.     Telephone _________________________________________ Ext ____________
  26.  
  27.     Fax ________________________________________________________________
  28.  
  29.     * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
  30.  
  31.     Quan.   Description/Product           Unit Price      Total Price
  32.  
  33.     ____    The PopIt Invoicing System      $29.95      ________________
  34.  
  35.             NY residents add appropriate Sales Tax      ________________
  36.  
  37.                                               TOTAL     ________________
  38.  
  39.     I Prefer (check one):    [ ] 5.25" diskette       [ ] 3.50" diskette
  40.  
  41.     IMPORTANT:
  42.     Which version of Popit Invoice are you currently using? ____________
  43.  
  44.     The Popit Invoicing System has been delivered and accepted by the
  45.     customer named above. Upon receipt of this paid invoice, VITRON will
  46.     send the customer a printed manual, a current version of the system,
  47.     update notifications and will provide free telephone support.
  48.  
  49.  
  50.