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Text File  |  1996-03-24  |  2KB  |  48 lines
  1.  Product # 11734           WinCharging            FAX Order Form
  2. -----------------------------------------------------------------
  3.  Qty
  4.  ___ WinCharging Deluxe Edition         @ $24.95 each  $________
  5.                  NJ residents please add 6% sales tax  $________
  6.      Shipping and handling  charges  --
  7.                 - in United States  $___4.00_
  8.                 - in Canada         $___6.00_
  9.                 - elsewhere         $__12.00_
  10.                                 Shipping and handling  $________
  11.                                                 Total  $________
  12. -----------------------------------------------------------------
  13.  Disk size (check one):  [ ] 3.5 HD (default)       [ ] 5.25 HD
  14. -----------------------------------------------------------------
  15.  
  16.           FAX CREDIT CARD ORDERS TO PsL at 713.524.6398
  17.  
  18.  Public (software) Library (PsL) handles all credit card orders 
  19.  for My Little Realm Enterprises.  PsL accepts MasterCard, Visa, 
  20.  American Express, or Discover Card.
  21.  
  22.   Credit Card    ___ Amex    ___ Disc    ___ MC    ___ Visa   
  23.   
  24.   Credit Card Number____________________________________________
  25.  
  26.   Exp. Date___________ Signature________________________________
  27.  
  28. -----------------------------------------------------------------
  29.  To call in a credit card order, dial 800.242.4775 (if inside the
  30.  United States) or 713.524.6394.  Ask for product # 11734.
  31. -----------------------------------------------------------------
  32.  
  33.       Name_______________________________________________________
  34.  
  35.    Company_______________________________________________________
  36.  
  37.    Address_______________________________________________________
  38.  
  39.       City_______________________________________________________
  40.  
  41.      State______________________________________ Zip_____________
  42.      
  43.  Phones:  Home________________________ Bus.______________________
  44.  
  45.    EMail Address_________________________________________________
  46.  
  47. _____________________________________________________R032596SWV20
  48.