CopperHead Software

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Product Order Form

From: 
                                                                                                                                     
Date:

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To: 

CopperHead Software
3711 Shamrock West, Suite 176P
Tallahassee FL 32308  •    24-Hr. Fax: 904-668-9916  •  e-mail: mnssi@aol.com

Order:

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 QuickLOOKups™ for Macintosh............................................ @ 49.00 each:     
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 QuickSHIP™ for Macintosh.................................................... @99.00 each:     
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 e-CATALOG™ for Macintosh................................................. @49.00 each:     
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 TimeClock&SignOut™ for Macintosh...................................... @19.00 each:     
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 Checks&Ledger™ for Macintosh............................................ @39.00 each:     
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 CD-METER™ for Macintosh................................................... @49.00 each:     
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 Bill-IT™ for Macintosh............................................................ @79.00 each:     
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 QwikBILL™(UK)  for Macintosh................. ............................. @49.00 each:     
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 QwikAUTOBILL™  for Macintosh............................................ @49.00 each:     
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 Pro Card Trader™  for Macintosh................. .................... ...... @20.00 each:     
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 CS Library™  for Macintosh.............................................. ...... @49.00 each:     
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 Invoice&Inventory™  for Macintosh......................................... @49.00 each:     
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 Mailing&Memo™  for Macintosh.............................................. @29.00 each:     
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Payment by:                                                                                                                                   Shipping:
             $5.00
 [   ] Cash, check or money order;    [   ] Visa;    [   ] MasterCard;
 [   ]School District P.0.#________________________            
                 Total Enclosed:
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Credit Card Number: ________  ________  ________  ________    
Expiration Date: ________

Signature: ____________________________

Name on Credit Card  (Please Print): ____________________________