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Text File  |  1990-08-12  |  2KB  |  52 lines
  1. Sub Rosa Publishing Inc.             SR-Info/VP-Info Discozine Subscription Form
  2.  
  3.          Beginning in the fall of 1990, Sub Rosa Publishing will publish
  4.                        a periodical NEWSLETTER-ON-A-DISK,
  5.                            SR-INFO/VP-INFO DISCOZINE,
  6.                       with articles, programming examples,
  7.           answers to technical questions we've dealt with on the phone
  8.                       and on various BBS conferences, etc.
  9.                                        *
  10.         Subscriptions cost $25.00 (two disks per year).
  11.  
  12. SEND ORDER TO:
  13.      Sub Rosa Publishing Inc.          Phone Orders (2-5 Eastern, 11-2 Pacific)
  14.      Unit 34-1170 Sheppard Ave. W.    (416) 398-8414    24-hr Fax (416) 630-7384
  15.      Downsview, ON  M3K 2A3
  16.  
  17. SHIP TO:                                   REGULAR MAILING ADDRESS IF DIFFERENT:
  18.  
  19.          Name: ________________________          Name: ________________________
  20.  
  21.       Company: ________________________       Company: ________________________
  22.  
  23.       Address: ________________________       Address: ________________________
  24.  
  25. City, St, Zip: ________________________ City, St, Zip: ________________________
  26.  
  27.     Day Phone: (______) _______________   Night Phone: (______) _______________
  28.  
  29. QUANT ITEM                                             PRICE       TOTAL
  30. ===== ================================================ ==========  ===========
  31.  
  32.                                           Subscription $ 25.00     $__________
  33.  
  34. Extra for outside U.S./Canada                          $  5.00     $__________
  35.  
  36.                                               TOTAL (U.S. Dollars) $
  37.                                                                    ===========
  38. DISK SIZE: [_] 360k 5.25"   [_] 1.2m 5.25"   [_] 720k 3.5"
  39.  
  40. PAYMENT: [_] Check (U.S./Canada bank)  [_] VISA  [_] MC
  41.  
  42.      VISA/MC Number: _______________________  VISA/MC Expiry Date: ___/___/9___
  43.  
  44.     Name on Card/PO: __________________________________________________________
  45.  
  46.           Signature: ______________________________________________
  47.  
  48. All prices and offerings subject to change
  49. without notice. All prices in U.S. Dollars.
  50.  
  51. Thank you for your order!
  52.