home *** CD-ROM | disk | FTP | other *** search
/ Night Owl 9 / Night Owl CD-ROM (NOPV9) (Night Owl Publisher) (1993).ISO / 027a / abuse11.zip / ORDER.FRM < prev    next >
Text File  |  1993-06-19  |  3KB  |  93 lines
  1.  
  2.                   ABUSE! 1.1 ORDER FORM
  3.  
  4.  
  5.      Remit to:  Dan M. Shaw                  Phone:       (808) 533-7559
  6.         PO BOX 37418                 CompuServe:  [72407,1513]
  7.         Honolulu, HI 96837-0418      Internet:
  8.         U.S.A.                         72407.1513@compuserve.com
  9.  
  10.  
  11.      YES!!  Send me some ABUSE!
  12.  
  13.      Registered ABUSE!                       Qty ____ @  $15     $_________
  14.  
  15.     Latest version, same vocabulary
  16.     as shareware.  No reminder screens.
  17.     Thanks for supporting the shareware
  18.     concept!
  19.  
  20.      Industrial Strength ABUSE!              Qty ____ @  $30     $_________
  21.  
  22.     Latest version, vocabulary refers to
  23.     ethnicity, religion, sexual practices,
  24.     private parts and bodily functions.
  25.     Some people will find these references
  26.     EXTREMELY OFFENSIVE.  Please sign and
  27.     date the following statement:
  28.  
  29.     "I hereby certify that I am an adult,
  30.     18 years of age or older, and have a
  31.     sense of humor."
  32.  
  33.     Signed: ____________________________
  34.  
  35.     Date:   ____________________________
  36.  
  37.  
  38.            Shipping and handling, US/Canada:  $4 per order
  39.                 All other countries:  $8 per order   $_________
  40.  
  41.                                                         Total    $_________
  42.  
  43.      Payment by:  ( ) Check (U.S. funds only, drawn on a U.S. bank)
  44.  
  45.  
  46.      Name:    ____________________________________  Title: ________________
  47.  
  48.      Company: _____________________________________________________________
  49.  
  50.      Address: _____________________________________________________________
  51.  
  52.               _____________________________________________________________
  53.  
  54.      Day Phone: ________________________  Evening: ________________________
  55.  
  56.  
  57.      Disk format:  ( ) 3.5"  ( ) 5.25"
  58.      [Distr: SDN]
  59.  
  60.  
  61.  
  62.                ABUSE! 1.1 Questionnaire
  63.  
  64.  
  65.  
  66.      Please help me improve ABUSE! by answering a few questions:
  67.  
  68.  
  69.      Where did you get your shareware copy of ABUSE!? _____________________
  70.  
  71.      ______________________________________________________________________
  72.  
  73.      Do you have any comments or suggestions to improve ABUSE!? ___________
  74.  
  75.      ______________________________________________________________________
  76.  
  77.      Please insult the author with the most colorful and disgusting
  78.      language you can think of:
  79.  
  80.      ______________________________________________________________________
  81.  
  82.      Aw, come on!  You sound like Mother Teresa!  If you can come up with
  83.      something really DISGUSTING or HILARIOUS, I'll include it in the next
  84.      release of ABUSE!
  85.  
  86.      ______________________________________________________________________
  87.  
  88.      ______________________________________________________________________
  89.  
  90.      ______________________________________________________________________
  91.  
  92.      [Distr: SDN]
  93.