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  1. Order from:                                              Voice: (702) 735-1980
  2. Ted Gruber Software                                        FAX: (702) 735-4603
  3. PO Box 13408                                               BBS: (702) 796-7134
  4. Las Vegas, NV  89112                                       CIS:     72000,1642
  5.  
  6. Name:    _____________________________________________________________________
  7.  
  8. Company: _____________________________________________________________________
  9.  
  10. Address: _____________________________________________________________________
  11.  
  12. City:    _____________________________________  State: ________  Zip: ________
  13.  
  14. Country: _________________ Phone: __________________  FAX: ___________________
  15.  
  16. +=====+=========================================+=======+============+=======+
  17. |     |                                         | Price |  Shipping  |       |
  18. | Qty |            Product Description          | Each  | Code  Cost | Total |
  19. +=====+=========================================+=======+=====+======+=======+
  20. |     | Fastgraph graphics library              | $249  |  1  |      |       |
  21. +-----+-----------------------------------------+-------+-----+------+-------+
  22. |     | Fastgraph/Light with on-line manual     |  $49  |  2  |      |       |
  23. |     | (registered version)                    |       |     |      |       |
  24. +-----+-----------------------------------------+-------+-----+------+-------+
  25. |     | Fastgraph/Light with printed manual     |  $79  |  1  |      |       |
  26. |     | (registered version)                    |       |     |      |       |
  27. +-----+-----------------------------------------+-------+-----+------+-------+
  28. |     | Fastgraph/Fonts bitmapped font support  |  $69  |  2  |      |       |
  29. |     | (requires Fastgraph or Fastgraph/Light) |       |     |      |       |
  30. +-----+-----------------------------------------+-------+-----+------+-------+
  31. |     | Fastgraph/Image image management toolkit|  $69  |  2  |      |       |
  32. |     | (requires Fastgraph)                    |       |     |      |       |
  33. +-----+-----------------------------------------+-------+-----+------+-------+
  34. |     | FG/Fonts and FG/Image bundle            | $118  |  2  |      |       |
  35. +-----+-----------------------------------------+-------+-----+------+-------+
  36. |     | Graphics Power Pack                     | $359  |  1  |      |       |
  37. |     | Fastgraph, FG/Fonts, and FG/Image       |       |     |      |       |
  38. +=====+=========================================+=======+=====+======+=======+
  39.                                                            Subtotal  |       |
  40. *********************************                                    +=======+
  41. *                               *    Nevada residents add sales tax  |       |
  42. * Shipping charges per product: *                                    +=======+
  43. *                               *     COD orders (U.S. only) add $6  |       |
  44. *     Code 1         Code 2     *                                    +=======+
  45. *   ----------     ----------   *                             Total  |       |
  46. *   U.S.    $7     U.S.    $3   *                                    +=======+
  47. *   Canada $10     Canada  $3   *    Method of payment:
  48. *   Other  $30     Other   $6   *
  49. *                               *       [ ] payment enclosed
  50. *********************************       [ ] Visa or MasterCard
  51.                                         [ ] COD
  52.                                         [ ] purchase order # _________________
  53. For credit card orders only:
  54.  
  55. Card number: ____________________________________  Expiration date: __________
  56.  
  57. Signature:   _________________________________________________________________
  58.