home *** CD-ROM | disk | FTP | other *** search
/ CICA 1993 August / CICA.cdr / unzipped / programr / bcpp / clikbr15 / order.doc < prev    next >
Encoding:
Text File  |  1993-03-15  |  1.8 KB  |  55 lines
  1. Please type or print clearly the following information:
  2.  
  3.  
  4.  
  5.                           ClickBar 1.5 ORDER FORM
  6.  
  7.      Remit to:   WynApse                       
  8.                  P.O. Box 86247                Information: 1-602-863-0411
  9.                  Phoenix, AZ 85080-6247        CompuServe:  [72251, 445]
  10.                  U.S.A.                        
  11.  
  12.      ClickBar                                  Qty ____ @  $35.00  $_________
  13.  
  14.      AZ residents add 6.7% sales tax.                              $_________
  15.  
  16.      Inside U.S. & Canada add  $1.00 shipping per Product.         $_________
  17.  
  18.      Outside U.S. & Canada add $3.00 shipping per Product.         $_________
  19.  
  20.  
  21.                                                           Total    $_________
  22.  
  23.      Payment by Check (U.S. funds only, drawn on a U.S. bank)
  24.  
  25.      Name:    _____________________________________  Title: _______________
  26.  
  27.      Company: _____________________________________________________________
  28.  
  29.      Address: _____________________________________________________________
  30.  
  31.               _____________________________________________________________
  32.  
  33.               _____________________________________________________________
  34.  
  35.      Day Phone: ________________________  Evening: ________________________
  36.  
  37.      Disk format:  ( ) 5.25"  ( ) 3.5"
  38.  
  39.      Where did you get your copy of ClickBar? _____________________________
  40.  
  41.      Printed Name for Registration number__________________________________
  42.  
  43. Please see License Information before ordering
  44.  
  45. Mail your completed registration request to:
  46.  
  47.                    WynApse 
  48.                    P.O. Box 86247
  49.                    Phoenix, AZ 85080-6247
  50.  
  51. Thank you for supporting the shareware software concept and
  52. encouraging the future development of Windows shareware!
  53.  
  54. Windows is a trademark of Microsoft Corporation.
  55.