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Text File  |  1995-11-21  |  1KB  |  48 lines
  1. Order form for Roxie's Reading Fish V 1.2
  2.  
  3.  
  4.           Name:_______________________________________
  5.  
  6.           Address:____________________________________
  7.  
  8.           City:_______________________________________
  9.  
  10.           State:____      Zipcode: __________-________
  11.  
  12.           Country:____________________________________
  13.  
  14.  
  15.              Order Roxie's Reading Fish _______________ ($9.95)            
  16.                          OR
  17.              Order BOTH Reading and Math Fish _________ ($16.95)
  18.               
  19.  
  20.            PA residents include 6% sales tax _______________
  21.  
  22.  
  23.   North America Shipping and Handling $3.00  _______________
  24.  
  25.           Overseas Shipping & Handling $5.00 _______________
  26.        
  27.  
  28.                                        Total _______________
  29.  
  30.  
  31.  
  32.           Please indicate disk size: 
  33.                               
  34.                               3.5" _____
  35.                              
  36.                              5.25" _____
  37.  
  38.                                
  39. Please return this form, along with a check in US funds to:
  40.  
  41.                   LatticeWork Software
  42.                   P.O. Box 362
  43.                   Lafayette Hill, PA 19444
  44.                   USA
  45.  
  46.  
  47. Roxie's Reading Fish V1.2 (esc1195)
  48.