home *** CD-ROM | disk | FTP | other *** search
/ Shareware Overload / ShartewareOverload.cdr / busi / cnett2.zip / ORDER.FRM < prev    next >
Text File  |  1989-12-08  |  2KB  |  68 lines

  1.               (tape  on  all sides)
  2.  
  3.     W R Conner & Associates, 3193 Kingfisher Pl, Dayton, OH 45431 
  4.                Phone: (513)429-9430
  5.  
  6.                C-NETT ORDER FORM
  7.  
  8.          NAME __________________________________
  9.  
  10.     STREET ADDRESS__________________________________ 
  11.  
  12.     CITY,STATE,ZIP__________________________________
  13.  
  14.  
  15.     __Check # __________________
  16.      
  17.          __ Visa # __________________________
  18.        __ Mastercard # __________________________  Expr Date ____________
  19.  
  20.       (Fold with additional sheet to better conceal card #)
  21. -----------------------------fold---------------------------------------------
  22.  
  23.       Item                 Price         Quantity      SubTotal
  24.  
  25.  INTRODUCTORY SYSTEM - 100 Task       ($ 9.95)                  
  26.    (Complete schedule system except pen plot)          ______     ________
  27.  LOW VOLUME SYSTEM   - 500 Task       ($79.95)*               
  28.     (Complete schedule system)                  ______     ________
  29.  LOW VOLUME WITH RESOURCE SYSTEM     ($119.95)*
  30.      (Complete schedule & resource system)          ______     ________
  31.  PROFESSIONAL SYSTEM  -2000 Task     ($249.95)*             
  32.       (Complete ...)                      ______     ________
  33.  PROFESSIONAL WITH RESOURCE SYSTEM   ($289.95)*
  34.        (Complete ...)                      ______     ________
  35. * Includes Printed Manual.
  36.          Ohio Residents 6% State Sales Tax             ________   
  37.  
  38.            Payment by MasterCard or Visa           3.5%     ________
  39.  
  40.                                TOTAL     _________ 
  41.  
  42.  
  43. ------------------------------fold-----------------------------------------
  44. FROM:                                    STAMP
  45.  
  46.  
  47.  
  48.  
  49.  
  50.  
  51.                                      
  52.      
  53.                 W R Conner & Associates
  54.                 3193 Kingfisher Place
  55.                 Dayton, Ohio 45431
  56.  
  57.  
  58.  
  59.  
  60.  
  61.  
  62.  
  63.  
  64. 
  65.  
  66.                                      
  67.      
  68.