home *** CD-ROM | disk | FTP | other *** search
/ Night Owl 6 / Night Owl's Shareware - PDSI-006 - Night Owl Corp (1990).iso / 038a / qbsbkit.zip / ORDER.FRM < prev    next >
Text File  |  1991-05-05  |  2KB  |  55 lines
  1. ORDER FORM
  2.  
  3.         ======================== QBXSBC 1.00 ==========================
  4.  
  5.  
  6.                                 Price        Qty        Amount
  7.  
  8.    *QBXSBC, the package. . . . $19.95ea.  X         =
  9.                                            ---------  ---------
  10.  
  11.    *QBXSBC, assembly source. . $29.95ea.  X         =
  12.                                            ---------  ---------
  13.  
  14.                 Texas residents, sales tax (8.025%) =
  15.                                                       ---------
  16.                        All foreign orders add $5.00 =
  17.                                                       ---------
  18.  
  19.                                              TOTAL =
  20.                                                       =========
  21.  
  22.         Send full payment to:
  23.  
  24.                                 Cornel Huth
  25.                                 Attn: QBXSBC 1.0 REGISTRATION
  26.                                 6402 Ingram Rd.
  27.                                 San Antonio, TX 78238  USA
  28.  
  29. -------------------------------------------------------------------------------
  30.     *IF YOU WANT ANY SOURCE YOU MUST SIGN THIS NON-DISCLOSURE AGREEMENT.
  31.  
  32.     I hereby agree that the source code provided by Cornel Huth shall
  33.     not be released to any other person, and that the source code is
  34.     for my personal, non-commercial, use only. I understand that by
  35.     signing this statement, I will abide by the terms of this agreement.
  36.  
  37.  
  38.     Sign here:                          Date:
  39.                ------------------------       -------------------
  40.  
  41. -------------------------------------------------------------------------------
  42.  
  43.     Mail to:
  44.                --------------------------------------------------- 
  45.  
  46.                --------------------------------------------------- 
  47.  
  48.                --------------------------------------------------- 
  49.  
  50.                --------------------------------------------------- 
  51.  
  52.                --------------------------------------------------- 
  53.  
  54.                ---------------------------------------------------
  55.