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Text File  |  1992-10-19  |  2KB  |  59 lines
  1. PC-DSD /Order Form
  2.  
  3. Remit To:
  4. Public Software Library
  5. P.O.Box 35705
  6. Houston,Tx 77235-5705
  7.  
  8. Phone Orders to: 1-800-242-4775
  9.  
  10. Date:______________________
  11.  
  12. From:
  13. Name:__________________________________
  14. Add1:__________________________________
  15. Add2:__________________________________
  16. City:__________________________________  St:___  Zip:____________
  17. Phone:_____________________
  18.  
  19. Qty                                                      Unit $    Total $
  20.  
  21. ______  Rollcall.DBMS...(8/91)..Ver.3.4............(R)   $69.95  $ _______
  22.  
  23. ______  PCMDS OBRA SOFTWARE...(August 92)..Ver 2.3.(R)  $275.00  $ _______
  24.  
  25. ______  Quality Management System (8/91)...Ver.3.0.(R)  $175.00  $ _______
  26.  
  27. ______  LVN2 UNIVERSAL PRECAUTIONS .(8/92).Ver.2.3.(R)  $ 38.50  $ _______
  28.         (CEU'S CREDIT AVAILABLE)
  29.  
  30. ------  LVN MEDICAL/SURGICAL REVIEW ..8/91.(R).Ver.2.1  $ 22.50  $ _______
  31.  
  32. ------  CNA NURSE ASSISTANT REVIEW PROGRAM..Ver.2.1..   $ 22.50  $ _______
  33.  
  34. ------  CPR BYSTANDER REVIEW PROGRAM.(8/91).Ver.2.1..   $ 22.50  $ _______
  35.  
  36. ------  FYI2 - THE BOSS PERSONAL RECORD KEEPER.Ver.2.2  $ 59.50  $ _______
  37.              (FOR YOUR EYES ONLY)   8/92
  38.  
  39. ------  FYI - RESUME WRITER/ADDRESS BOOK ..Ver.2.3......$ 37.50  $ _______
  40.  
  41. ------  Distribution License .........................  $ 99.00  $ _______
  42.             (Call author for details)
  43.  
  44. Shipping   US Canada  Add $ 4.00                                 $ _______
  45.            Overseas   Add $20.00
  46. Taxes      Add 6.75%                                             $ _______
  47.  
  48.                                                         Total    $ _______
  49.  
  50.  
  51. Diskette Size: [ ] 5.25 inch  [ ] 3.5 inch
  52.  
  53. Visa/MC/PO#:_____________________________  Exp date:___/___
  54.  
  55. Signature:_________________________________________________
  56.  
  57. Thank you for your order!
  58.  
  59.