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Text File  |  1995-11-04  |  2KB  |  57 lines
  1. ﾂ 
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  5. 窶” 窶” 窶” 窶” 窶” 窶” 窶” 窶” 窶” 窶” 窶” 窶” 窶” 窶” 窶” 窶” 窶” 窶” 窶” 窶” 窶” 窶” 窶” 窶” 窶” 窶” 窶” 窶” 
  6.  
  7. Product Order Form
  8.  
  9. From:                                                                                                                                             Date:
  10.  
  11. ________________________________________                                                _____________________
  12.  
  13. ________________________________________
  14.  
  15. ________________________________________
  16.  
  17. To:     
  18.  
  19. True BASIC Inc.
  20. 12 Commerce Avenue, Suite 3, West Lebanon NH 03784-1669
  21. 24-Hr. Fax: 603 298-7015   窶｢  800 436-2111  窶｢  e-mail: sales@truebasic.com
  22.  
  23.     Order:    
  24.  
  25.     ____     QwikRAFFLE邃｢ for Macintosh.       Item #: 79-008&Q.        @ 29.00 each :          _______
  26.  
  27.     ____     #76-011 Perfed paper for raffle tickets.  100-sheet pack      @ 6.00 each :     _______
  28.  
  29.  
  30.     ____     #76-012 Perfed paper for raffle tickets.  500-sheet pack      @ 24.00 each :  _______
  31.  
  32.  
  33.     ____     #76-3x10 Labels.   50-sheet pack (1500 labels).        @ 8.95 each :                    _______
  34.  
  35.     ____     #76-3x10 Labels.   250-sheet pack (7500 labels).        @ 35.95 each :              _______
  36.  
  37.     ____     #76-2x5 Labels.   50-sheet pack (1500 labels).        @ 8.95 each :                          _______
  38.  
  39.     ____     #76-2x5 Labels.   250-sheet pack (7500 labels).        @ 35.95 each :                    _______
  40.  
  41.     ____     ZipZAPP邃｢ for Macintosh.       Item #: 53-MAC&Q.        @ 29.00 each :                     _______
  42.  
  43.     ____     QwikCONGRESS邃｢ for Macintosh.       Item #: 79-015&Q.@ 19.00 each :         _______
  44.  
  45.                                                                                                                                                        Shipping:               $5.00
  46.  
  47.                                                                                                                                          Total Enclosed:       $   _______
  48.  
  49. Payment by: 
  50.  
  51.  [   ] Cash, check or money order;    [   ] Visa;    [   ] MasterCard;   [   ] Discover;   [   ] AMEX
  52.  
  53.  
  54.     Credit Card Number: ________  ________  ________  ________        Expiration Date: ______
  55.  
  56.     Signature: ____________________________
  57.