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/ Monster Media 1996 #15 / Monster Media Number 15 (Monster Media)(July 1996).ISO / prog_d / ssbc15.zip / ORDER.TXT < prev    next >
Text File  |  1996-04-15  |  2KB  |  91 lines
  1. ** ORDER FORM **
  2.  
  3. Please remit to:
  4.  
  5. Soft Sector, Inc.
  6. PO Box 81480
  7. Cleveland OH 44181 USA
  8.  
  9. If paying by credit card:
  10. -------------------------
  11. You can call in your order to: (216) 777-3612
  12.  
  13. You can fax your order to: (216) 777-3612
  14.  
  15.  
  16.    Name: _________________________________________________________
  17.  
  18. Company: _________________________________________________________
  19.  
  20. Address: _________________________________________________________
  21.  
  22.      _________________________________________________________
  23.  
  24.    City: ______________________________  State: __________________
  25.    
  26. Zip/Postal: ____________________  Country: _______________________
  27.  
  28. Phone # (optional): ______________________________________________
  29.  
  30. E-Mail Address: __________________________________________________
  31.  
  32. Where did you obtain our product? 
  33.  
  34. __________________________________________________________________
  35.  
  36. Comments or Suggestions:
  37.  
  38.  
  39.  
  40.  
  41.  
  42.  
  43.  
  44. Product Description             Price Per Unit  Qty     Total
  45. --------------------------------------------------------------------
  46. ssBarCode v1.5                  $20.00        x      =
  47.  
  48. ssImage v1.0                    $5.00         x      =
  49.  
  50.  
  51. Shipping/Handling via US Mail   $3.00 (flat rate)    =
  52.        -- or --
  53. Shipping/Handling via E-Mail    $1.00 (flat rate)    =  
  54.  
  55. --------------------------------------------------------------------
  56.                     Subtotal:
  57.  
  58.          Ohio Residents Add 7% Sales Tax:
  59.  
  60.                        Total:
  61.  
  62. Payment Options
  63. ---------------
  64.  
  65. [ ]  MasterCard    [ ]  Visa   [ ]  American Express  
  66.  
  67. [ ]  Check/Money Order (make payable to SOFT SECTOR, INC.)
  68.  
  69.  
  70. If Credit Card...
  71. -----------------
  72.  
  73. Credit Card #: _______________________________________________________
  74.  
  75. Expiration Date: ____/____     
  76.  
  77. Name on Card: ________________________________________________________
  78.  
  79. Signature: ___________________________________________________________
  80.  
  81. Registration Benefits
  82. ---------------------
  83. For any of our products that you register, you get the following:
  84.  
  85. - Current version usable in any of your applications
  86. - Technical support via e-mail for one year
  87. - Bug fixes free via e-mail
  88. - Next major update free
  89. - Notification of updates of all our products
  90. - Discounts on our other products
  91.