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Text File  |  1996-07-31  |  4KB  |  83 lines
  1. **************************************************************************
  2. *                                                                        *
  3. *                      Around The House - Version 3.00                   *
  4. *                 Copyright 1993-95  by BlueCollar Software              *
  5. *                                                                        *
  6. *                         Published exclusively by:                      *
  7. *                           RMH Computer Services                        *
  8. *                                PO Box  657                             *
  9. *                         Beech Grove IN 46107-0657                      *
  10. *                              (317)  782-9903                           *
  11. *                                                                        *
  12. **************************************************************************
  13.  
  14.                                  ORDER FORM
  15.  
  16. --------------------------------------------------------------------------
  17.  Send order form     RMH Computer Services           [  you can call   ]
  18.  and payment to:     PO BOX 657                      [  317-782-9903   ]
  19.                      BEECH GROVE, IN 46107-0657      [  to order via   ]
  20.                      USA                             [ VISA/MasterCard ]
  21. --------------------------------------------------------------------------
  22.  
  23.  I have enclosed (US Funds) for the following product:
  24.  
  25.    [ ] Around The House  -  $39.00ea ........................... $_____
  26.        [ ] American Version
  27.        [ ] Austrailan Version (See AUSTBRIT.TXT for details)
  28.        [ ] British Version    (See AUSTBRIT.TXT for details)
  29.  
  30.  Indiana residents must add 5% State sales tax ($1.95ea) ....... $_____
  31.  
  32.  Shipping/Handling ............................................. $_____
  33.        [ ] USA residents please add .............. $1.00 S/H
  34.        [ ] Canada/Mexico residents please add .... $3.00 S/H
  35.        [ ] Other residents please add ............ $5.00 S/H
  36.  
  37.                                         Total .................. $_____
  38.  
  39.  
  40. PLEASE TYPE OR PRINT (all information will remain confidential)
  41.  
  42. Name...: __________________________________________________________
  43.  
  44. Address: __________________________________________________________
  45.  
  46.        : __________________________________________________________
  47.  
  48.        : __________________________________________________________
  49.  
  50. Phone Number (Required)..: ___________________    Sales Code: ATH300JCSM
  51.  
  52. Do you have an Email Acct? [y/n]: ____
  53.    If yes, address: ____________________________________________________
  54.  
  55. I would like to receive:  [___] 3-1/2" disks (720k)
  56.                           [___] 5-1/4" disks (360k)  
  57.  
  58.  
  59.  
  60. CREDIT CARD ORDERS
  61. ------------------
  62.  
  63. For fast Credit Card (MC/VISA) ordering, please call us at 317-782-9903, 
  64. or you can FAX this order form to us at 317-784-2147. Please provide the 
  65. information (including your signature!) in the space below. *ALL* spaces
  66. must be completed:
  67.  
  68.    +------------------------------------------------------------------+ 
  69.    | We can accept MasterCard or Visa credit card payments.  Fill out | 
  70.    | the following ONLY if you are making payment by MC or Visa.      | 
  71.    |                                                                  | 
  72.    | MasterCard [_]    Visa [_]    Discover [_]                       | 
  73.    |                                                                  | 
  74.    | Number on Card [____  ____  ____  ____]                          | 
  75.    |                                                                  | 
  76.    | Name on the Card [_____________________________________________] | 
  77.    |                                                                  | 
  78.    | Expires [_______]  Signature (*)________________________________ | 
  79.    +------------------------------------------------------------------+ 
  80.             (*) NOTE: This *REQUIRES* a hand-written signature! 
  81.  
  82.  
  83.