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Text File  |  1991-09-13  |  4KB  |  60 lines
  1.  
  2.          GRABBER (tm)  Order Form         (For additional information, please
  3.                                            see page 3 of the GRABBER.DOC file.)
  4.  
  5.          +---------------------------------------------------------------------+
  6.          |                                                                     |
  7.          |  I wish to license _____ copy/copies of the latest release of the   |
  8.          |  GRABBER programs. I have enclosed $59.00 and/or $29.00 for each    |
  9.          |  single-user license, as indicated.  (Prices subject to change.)    |
  10.          |                                                                     |
  11.          |   Number of copies:   _____ $59.00 version;   _____ $29.00 version  |
  12.          |                                                                     |
  13.          |  Name ___________________________________________________________   |
  14.          |                                                                     |
  15.          |  Company (if applicable) ________________________________________   |
  16.          |                                                                     |
  17.          |  Address ________________________________________________________   |
  18.          |                                                                     |
  19.          |  City _______________________________  State ______  Zip ________   |
  20.          |                                                                     |
  21.          |  Phone  (_____)_____________ [day]  (_____)_____________ [evening]  |
  22.          |                                                                     |
  23.          |  I prefer:  _____ 3-1/2" disk;  _____ 5-1/4" disk                   |
  24.          |                                                                     |
  25.          |                     For credit card orders only:                    |
  26.          |                    ******************************                   |
  27.          |                                                                     |
  28.          |  Circle one:    Visa    MasterCard    American Express    Discover  |
  29.          |                                                                     |
  30.          |  Card Number _________________________________ Expiration: _______  |
  31.          |                                                                     |
  32.          |  Cardholder Name (please print) __________________________________  |
  33.          |                                                                     |
  34.          |  Cardholder Signature _____________________________________    3.90 |
  35.          +---------------------------------------------------------------------+
  36.  
  37.          TO ORDER BY CHECK:   Complete the order form above and mail it with
  38.          your check or money order for $59.00 or $29.00 U.S. per copy, payable
  39.          to Gerald A. Monroe.  Send your order to:
  40.  
  41.                                  Gerald A. Monroe
  42.                                  1241 Bunts Road
  43.                                  Lakewood, Ohio 44107  U.S.A.
  44.  
  45.          Canadian and overseas users, please use a check drawn on a U.S. bank.
  46.  
  47.          TO ORDER BY CREDIT CARD:   Call the Public Software Library of Houston,
  48.          Texas and use your Visa, MasterCard, American Express or Discover card.
  49.          There is a handling charge of $4.00 per order when you register through
  50.          PSL. PSL can be contacted (for orders only) at these telephone numbers:
  51.  
  52.                              *  (800) 242-4775   (Toll-Free)
  53.                              *  (713) 524-6394
  54.                              *  (713) 524-6398   (to FAX your order form)
  55.  
  56.          Or, complete the order form above and mail it to:
  57.  
  58.                                  Public Software Library
  59.                                  P.O. Box 35705
  60.                                  Houston, Texas 77235-5705  U.S.A.