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Text File  |  1995-11-11  |  4KB  |  80 lines
  1. **************************************************************************
  2. *                                                                        *
  3. *                      Around The House - Version 3.00                   *
  4. *                            (British Version)                           *
  5. *                 Copyright 1993-95  by BlueCollar Software              *
  6. *                                                                        *
  7. *                         Published exclusively by:                      *
  8. *                           RMH Computer Services                        *
  9. *                                PO Box  657                             *
  10. *                         Beech Grove IN 46107-0657                      *
  11. *                              (317)  782-9903                           *
  12. *                                                                        *
  13. **************************************************************************
  14.  
  15.                                  ORDER FORM
  16.  
  17. --------------------------------------------------------------------------
  18.  Send order form     RMH Computer Services           [  you can call   ]
  19.  and payment to:     PO BOX 657                      [  317-782-9903   ]
  20.                      BEECH GROVE, IN 46107-0657      [  to order via   ]
  21.                      USA                             [ VISA/MasterCard ]
  22. --------------------------------------------------------------------------
  23.  
  24.  I have enclosed (US Funds) for the following product:
  25.  
  26.    [ ] Around The House  -  $39.00ea ........................... $_____
  27.        [ ] American Version
  28.        [ ] Austrailan Version (See AUSTBRIT.TXT for details)
  29.        [ ] British Version    (See AUSTBRIT.TXT for details)
  30.  
  31.  Indiana residents must add 5% State sales tax ($1.95ea) ....... $_____
  32.  
  33.  Shipping/Handling ............................................. $_____
  34.        [ ] USA residents please add .............. $1.00 S/H
  35.        [ ] Canada/Mexico residents please add .... $3.00 S/H
  36.        [ ] Other residents please add ............ $5.00 S/H
  37.  
  38.                                         Total .................. $_____
  39.  
  40.  
  41. PLEASE TYPE OR PRINT (all information will remain confidential)
  42.  
  43. Name...: __________________________________________________________
  44.  
  45. Address: __________________________________________________________
  46.  
  47.        : __________________________________________________________
  48.  
  49.        : __________________________________________________________
  50.  
  51. Phone Number (Required)..: ___________________  Sales Code: ATH300(B)JCSM
  52.  
  53. Email Address (if available): _______________________________________
  54.  
  55. I would like to receive:  [___] 3-1/2" disks (720k)
  56.                           [___] 5-1/4" disks (360k)  
  57.  
  58.  
  59. CREDIT CARD ORDERS
  60. ------------------
  61.  
  62. For fast Credit Card (MC/VISA/DISCOVER) ordering, please call us at 
  63. 317-782-9903. Or, you can provide the information (including your 
  64. signature!) in the space below. *ALL* spaced must be completed:
  65.  
  66.    +------------------------------------------------------------------+ 
  67.    |    We can accept MasterCard, Visa, and Discover credit cards.    | 
  68.    |                                                                  | 
  69.    |           MasterCard [_]    Visa [_]     Discover [_]            | 
  70.    |                                                                  | 
  71.    | Credit Card Number:  ________  ________  ________  ________      | 
  72.    |                                                                  | 
  73.    | Name on the Card: _____________________________________________  | 
  74.    |                                                                  | 
  75.    | Expires: _______   Signature (*)________________________________ | 
  76.    +------------------------------------------------------------------+ 
  77.             (*) NOTE: This *REQUIRES* a hand-written signature! 
  78.  
  79.  
  80.