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Text File  |  1990-04-14  |  2KB  |  61 lines
  1.  
  2.  
  3.  
  4.  
  5.  
  6.           
  7.                                      ORDER FORM
  8.           
  9.           
  10.                                 Specialty Microware
  11.                                     P.O. Box 194
  12.                                   Alvin, TX 77512
  13.           
  14.           
  15.           
  16.           
  17.           Item                     Quantity        Price       Extension
  18.           ---------------------------------------------------------------
  19.           
  20.           Registered personalized   _____         $29.00      $__________
  21.           copy of ECB
  22.            (including User's Guide
  23.             & technical support)
  24.           
  25.           Unregistered ECB diskette _____         $10.00      $__________
  26.           
  27.           
  28.           CHECK DISK SIZE: 
  29.                                                   Subtotal    $__________
  30.           [  ]  5 1/4"
  31.                                           7.50% Sales Tax     $__________
  32.           [  ]  3 1/2"                    (Texas residents)
  33.           
  34.                                         Shipping & Handling   $      3.00
  35.                                                               ___________
  36.           
  37.                                                       Total   $__________
  38.           
  39.           Please make checks payable to:  Specialty Microware.
  40.           
  41.           Registrant Name________________________________________________
  42.                                 (as it will appear in the program)
  43.           
  44.           Address________________________________________________________
  45.           
  46.           City_______________________________State___________Zip_________
  47.           
  48.           Phone (______)_____________________________
  49.           
  50.           
  51.           Ship to: ______________________________________________________
  52.           
  53.                    ______________________________________________________
  54.           
  55.                    ______________________________________________________
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