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Text File  |  1993-02-01  |  5KB  |  70 lines
  1.   +----------------------------------------------------------------------+
  2.   | 6.00                CRVPLOT                 |
  3.   |                               ORDER FORM                             |
  4.   |----------------------------------------------------------------------|
  5.   |                                                                      |
  6.   |                              From: ________________________________  |
  7.   | Remit to:                                                            |
  8.   |                                                                      |
  9.   | Simply Software                    ________________________________  |
  10.   | 5572 Kingsbury Rd.                                                   |
  11.   | Fairfield, OH  45014                                                 |
  12.   |                                    ________________________________  |
  13.   | 513-829-0667                                                         |
  14.   |                                                                      |
  15.   | Payable by check,                  ________________________________  |
  16.   | money order, Visa or                                                 |
  17.   | MasterCard.                                                          |
  18.   |                              Attn: ________________________________  |
  19.   |                                                                      |
  20.   |                                                                      |
  21.   |                                    ________________________________  |
  22.   |                                                                      |
  23.   |                                                                      |
  24.   |                             Phone: ________________________________  |
  25.   |                                                                      |
  26.   |                                                                      |
  27.   |            P.O. # (if applicable): ________________________________  |
  28.   |                                                                      |
  29.   |  Upon receipt of registration fee, the following will be provided:   |
  30.   |               Latest version of CRVPLOT (5-1/4" disk)                |
  31.   |               100+ page users manual                                 |
  32.   |----------------------------------------------------------------------|
  33.   |                                                                      |
  34.   |                         (Prices subject to change without notice)    |
  35.   |                                                                      |
  36.   |                                     Qty    Unit Price     Total      |
  37.   |                                                                      |
  38.   |  Single user registration fee:         $45.00       = ______     |
  39.   |                                                                      |
  40.   |  Additional users (see below):     _____   @ $30.00       = ______   |
  41.   |                                                                      |
  42.   |  Additional manuals                _____   @ $17.50       = ______   |
  43.   |                                                                      |
  44.   |  Shipping (US Postal Priority - 2 day delivery)           =   3.00   |
  45.   |    (UPS add $2.00 ground or $7.00 2nd day air)                       |
  46.   |    (International orders add $7.00 - air mail)            = ______   |
  47.   |                                                                      |
  48.   |                      (Ohio residents add 5% sales tax)    = ______   |
  49.   |                                                                      |
  50.   |                                                  TOTAL    = ______   |
  51.   |                                                                      |
  52.   |                                                                      |
  53.   | Payment by:  Check __  Money Order __  Visa __  MasterCard __        |
  54.   |                                                                      |
  55.   | Credit Card #: _________________________  Expiration Date: ____      |
  56.   |                                                                      |
  57.   | Signature: ______________________                                    |
  58.   |                                                                      |
  59.   | Additional Users:                                                    |
  60.   |           The fee for additional users allows the registered user to |
  61.   |           make up to the number of "additional users" copies of the  |
  62.   |           documentation.  A letter indicating this permission        |
  63.   |           will be included with the filled order.                    |
  64.   |----------------------------------------------------------------------|
  65.   | Additional Comments:                                                 |
  66.   |                                                                      |
  67.   |                                                                      |
  68.   |                                                                      |
  69.   +----------------------------------------------------------------------+
  70.