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ORDER.TXT
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1996-08-01
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4KB
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78 lines
**************************************************************************
* *
* Professional Carrier - v1.25 *
* Copyright 1995,96 by BlueCollar Software *
* *
* Published exclusively by: *
* RMH Computer Services *
* PO Box 657 *
* Beech Grove IN 46107-0657 *
* (317) 782-9903 *
* *
**************************************************************************
ORDER FORM
--------------------------------------------------------------------------
Send registration RMH Computer Services [ you can call ]
form and payment to: PO BOX 657 [ 317-782-9903 ]
BEECH GROVE, IN 46107-0657 [ to order via ]
USA [ credit card ]
--------------------------------------------------------------------------
I have enclosed (US Funds) for the following product:
[ ] Professional Carrier - $59.00 ................... $_____
Indiana residents must add 5% State sales tax ................. $_____
Shipping/Handling ............................................. $_____
[ ] USA residents please add .............. $3.00 S/H
[ ] Canada/Mexico residents please add .... $5.00 S/H
[ ] Other residents please add ............ $8.00 S/H
Total .................. $_____
PLEASE TYPE OR PRINT (all information will remain confidential)
Name...: __________________________________________________________
Address: __________________________________________________________
: __________________________________________________________
: __________________________________________________________
Phone Number (Required)..: ___________________ Sales Code: PC125JCSM
Do you have an email account? [y/n]: ____ If yes, ID# _______________
I would like to receive: [___] 3-1/2" disks (720k)
*[___] 5-1/4" disks (360k)
(* NOTE: There is an additional
$5.00 charge for 5-1/4" disks)
CREDIT CARD ORDERS
------------------
For fast Credit Card (MC/VISA/DISCOVER) ordering, please call us at
317-782-9903. Or, you can provide the information (including your
signature!) in the space below. *ALL* spaced must be completed:
+------------------------------------------------------------------+
| We can accept MasterCard, Visa, and Discover credit cards. |
| |
| MasterCard [_] Visa [_] Discover [_] |
| |
| Credit Card Number: ________ ________ ________ ________ |
| |
| Name on the Card: _____________________________________________ |
| |
| Expires: _______ Signature (*)________________________________ |
+------------------------------------------------------------------+
(*) NOTE: This *REQUIRES* a hand-written signature!