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Text File  |  1990-01-24  |  2KB  |  58 lines

  1. PC-Write Lite Order Form
  2.  
  3. Send To:
  4.  Quicksoft, Inc.
  5.  219 First Ave N #224
  6.  Seattle, WA 98109
  7.  
  8.  Phone Orders, 7-5 Pacific time:        800-888-8088,  206-282-0452
  9.  
  10. Shipping Address for This Order:        Registered User Mailing Address:
  11.  
  12. Name:__________________________         Name:__________________________
  13.  
  14. Company:_______________________         Company:_______________________
  15.  
  16. Address:_______________________         Address:_______________________
  17.  
  18. City,St,Zip:___________________         City,St,Zip:___________________
  19.  
  20. Day phone:_____________________         [] Use for Quicksoft mail only
  21.  
  22. Order date:____________________         [] Please don't send commissions
  23.  
  24.  
  25. Quan Item           Price    Price      TOTAL
  26.                    BEFORE    AFTER
  27.                    4/1/90   4/1/90
  28. ____ Registration    $49       $79      _____
  29.  
  30. Parts of registration:
  31. ____ Diskette set    $12       $12      _____
  32. ____ User's Guide    $24       $39      _____
  33. ____ Basic Support   $25       $40      _____
  34.  
  35. ____ Other________________________      _____
  36.  
  37. Subtract 20% for quantity 2 to 9 of any one item.
  38. Call for larger orders, group licenses, etc.
  39.  
  40. Shipping:
  41.   US/Canada   add $ 5                   _____
  42.   Overseas    add $20
  43. Company PO    add $ 5                   _____
  44. UPS COD order add $ 5
  45. Rush handling add $ 5                   _____
  46. Wash. orders  add 8.1%
  47.                 TOTAL  (US dollars): $_______
  48.  
  49. Diskette Size:  [] 5.25 inch    [] 3.5 inch
  50.  
  51. Payment:  [] Check  [] Visa/MC  [] PO  [] COD
  52.  
  53. Visa/MC/PO#:______________________________  Exp. Date:____________
  54.  
  55. Signature:________________________________
  56.  
  57. Thank you for your order!
  58.