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PURCHASE.TXT
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1996-03-24
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2KB
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43 lines
Product # 11734 WinCharging Order Form
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Qty
___ WinCharging Deluxe Edition @ $24.95 each $________
NJ residents please add 6% sales tax $________
Shipping and handling charges --
- in United States $___4.00_
- in Canada $___6.00_
- elsewhere $__12.00_
Shipping and handling $________
Total $________
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Disk size (check one): [ ] 3.5 HD (default) [ ] 5.25 HD
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Indicate payment type: [ ] Personal check [ ] Money order
Checks and MO's must be drawn on U.S. banks in U.S. funds.
Please make payable to My Little Realm Enterprises and mail to:
My Little Realm Enterprises
22 Church Street #103, Suite 376
Ramsey, New Jersey 07446
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User Information
Name_______________________________________________________
Company_______________________________________________________
Address_______________________________________________________
City_______________________________________________________
State______________________________________ Zip_____________
Home_(_____)_________________ Bus._(_____)_________________
EMail Address_________________________________________________
_____________________________________________________R032396SWV20