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REGISTER.FRM
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Text File
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1991-05-21
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3KB
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127 lines
_______________________ PLACE
_______________________ STAMP
_______________________ HERE
_______________________
ATTN : ORDERS
ENERGY SOFTWARE
409 ALPINE
KILLEEN, TX 76542
--------------------- FOLD HERE AND PLEASE TAPE ALL SIDES --------------------
Energy Software
Date : ________________ PRODUCT ORDER FORM
NAME : ____________________________________________________
ADDRESS : _________________________________________________
CITY : ________________________________ STATE : __________
ZIP : ________________
Please answer the following questions so Energy Software
may better serve your needs. Please Check Box:
MACHINE TYPE : < XT > < AT > < 386 > < 486 >
DO YOU USE A MOUSE : < NO > < YES >
TYPES OF FLOPPY DISK DRIVES : < 360K > < 720K >
< 1.2M > < 1.44M >
TYPE OF MONITOR : < MONO > < HERCULES > < CGA >
< EGA > < VGA > < SVGA >
INTERESTS : < GAMES > < UTILITIES > < PROGRAMMING >
< NETWORKING > < WINDOWS > < BUSINESS > < OTHER >
Program Price Quantity Total
Prices effective: 5-25-91 Price
-----------------------------------------------------------
MrMenu ..................$49.95ea x ______ = $_________
MrMail ..................$14.95ea x ______ = $_________
CleanOut ................$ 5.00ea x ______ = $_________
Chopper .................$ 5.00ea x ______ = $_________
Conceal .................$ 5.00ea x ______ = $_________
Scramble ................$ 5.00ea x ______ = $_________
WipeOut .................$ 5.00ea x ______ = $_________
Learn ...................$ 5.00ea x ______ = $_________
Mission .................$ 5.00ea x ______ = $_________
Decide ..................$ 5.00ea x ______ = $_________
LookFor .................$ 5.00ea x ______ = $_________
Scrub ...................$ 5.00ea x ______ = $_________
----------------
Sub-Total
----------------
Shipping & Handling add 3%
----------------
Sales Tax
(Texas residents add 8.25%)
================
Total amount enclosed
================