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Text File  |  1990-08-15  |  2KB  |  55 lines
  1. Sub Rosa Publishing Inc.                                   SR-Info Order Form
  2.  
  3. SEND ORDER TO:
  4.    Sub Rosa Publishing Inc.               PHONE (416) 398-8414
  5.    Unit 34-1170 Sheppard Ave. W.      24-hr Fax (416) 630-7384
  6.    Downsview, ONTARIO                 U.S. 800 line:  426-3475
  7.    CANADA           M3K 2A3
  8.  
  9.  
  10. SHIP TO:                                REGULAR MAILING ADDRESS IF DIFFERENT:
  11.  
  12.        Name: ________________________          Name: ________________________
  13.  
  14.     Company: ________________________       Company: ________________________
  15.  
  16.     Address: ________________________       Address: ________________________
  17.  
  18. City,St,Zip: ________________________   City,St,Zip: ________________________
  19.  
  20.   Day Phone: (______) _______________   Night Phone: (______) _______________
  21.  
  22. QUANT ITEM                                             PRICE       TOTAL
  23. ===== ================================================ ==========  ===========
  24.  
  25. _____ Set of registered diskettes                      $ 50.00     $__________
  26.       includes one-half hour technical support
  27. _____ SR-Info Manual                                   $ 40.00     $__________
  28.  
  29. Diskozine - newsletter on a disk 2 copies per year     $ 25.00     $__________
  30. Original VP-Info Manual with detailed turorials and
  31.    sample programs (Programs also on floppy disk.)     $ 35.00     $__________
  32. Shipping/handling per order, U.S./Canada               $  5.00     $__________
  33. Extra for outside U.S./Canada                          $  5.00     $__________
  34. Extra for company purchase order                       $  5.00     $__________
  35. Rush handling availablle on request                                $__________
  36.  
  37. Ontario Orders (8% sales tax on disks and manuals only)            $__________
  38.  
  39.                                               TOTAL (U.S. Dollars) $
  40.                                                                    ===========
  41.  
  42. DISK SIZE: [_] 360k 5.25"     [_] 720k 3.5"
  43.  
  44. PAYMENT: [_] Check (U.S./Canada bank)   [_] VISA    [_] MC   [_] Company PO
  45.  
  46. VISA/MC/PO Number: _______________________  VISA/MC Expiry Date: ___/___/9___
  47.  
  48.   Name on Card/PO: __________________________________________________________
  49.  
  50. Cardholder Signature: ______________________________________________
  51.  
  52.                                                     Thank you for your order!
  53.  
  54.  
  55.