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Text File  |  1991-05-21  |  3KB  |  127 lines
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  3.         _______________________                                        PLACE
  4.         _______________________                                        STAMP
  5.         _______________________                                        HERE
  6.         _______________________
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  13.                                          ATTN : ORDERS
  14.                                          ENERGY SOFTWARE
  15.                                          409 ALPINE
  16.                                          KILLEEN, TX  76542
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  33.  --------------------- FOLD HERE AND PLEASE TAPE ALL SIDES --------------------
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  69.                                          Energy Software
  70.        Date : ________________          PRODUCT ORDER FORM
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  73.        NAME : ____________________________________________________
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  75.        ADDRESS : _________________________________________________
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  77.        CITY : ________________________________  STATE : __________
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  79.                                             ZIP : ________________
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  81.        Please  answer the  following questions  so Energy Software
  82.        may better serve your needs. Please Check Box:
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  84.        MACHINE TYPE :   < XT >   < AT >    < 386 >   < 486 >
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  86.        DO YOU USE A MOUSE :   < NO >   < YES >
  87.  
  88.        TYPES OF FLOPPY DISK DRIVES :    < 360K >    < 720K >
  89.                                         < 1.2M >   < 1.44M >
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  91.        TYPE OF MONITOR :   < MONO >  < HERCULES >  < CGA >
  92.                            < EGA >    < VGA >    < SVGA >
  93.  
  94.        INTERESTS :  < GAMES >  < UTILITIES >  < PROGRAMMING >
  95.        < NETWORKING >  < WINDOWS >  < BUSINESS >    < OTHER >
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  97.        Program                  Price      Quantity    Total
  98.        Prices effective: 5-25-91                       Price
  99.        -----------------------------------------------------------
  100.        MrMenu ..................$49.95ea   x  ______ = $_________
  101.        MrMail ..................$14.95ea   x  ______ = $_________
  102.        CleanOut ................$ 5.00ea   x  ______ = $_________
  103.        Chopper .................$ 5.00ea   x  ______ = $_________
  104.        Conceal .................$ 5.00ea   x  ______ = $_________
  105.        Scramble ................$ 5.00ea   x  ______ = $_________
  106.        WipeOut .................$ 5.00ea   x  ______ = $_________
  107.        Learn ...................$ 5.00ea   x  ______ = $_________
  108.        Mission .................$ 5.00ea   x  ______ = $_________
  109.        Decide ..................$ 5.00ea   x  ______ = $_________
  110.        LookFor .................$ 5.00ea   x  ______ = $_________
  111.        Scrub ...................$ 5.00ea   x  ______ = $_________
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  113.                                                  ----------------
  114.                                      Sub-Total
  115.                                                  ----------------
  116.                     Shipping & Handling add 3%
  117.                                                  ----------------
  118.                                      Sales Tax
  119.                    (Texas residents add 8.25%)
  120.                                                  ================
  121.  
  122.                          Total amount enclosed
  123.                                                  ================
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