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ORDER.FRM
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1993-12-13
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Remit to: Sci-Vision Order Form
PO Box 941532 2.01
Suite 269
Dallas,Texas
75094-1532
Qty
___ StarWorks Disk (Full-Function Version).... @ $19.50 ea. $ ____
(includes program and manual on disk)
Shipping $ 4.00
(Texas residents add 8.25% sales tax) Tax $ ____
Total $ ______
*** IMPORTANT *** ALL PAYMENT MUST BE THROUGH A US BANK IN US DOLLARS.
Payment by: ( ) Check drawn on US Bank in US Dollars
( ) International Money Order in US Dollars
( ) Traveler's Checks in US Dollars
( ) US Currency (for NON-US orders)
Sorry, no Credit Card or C.O.D. orders will be accepted.
Name: ____________________________________________________________
Organization: _______________________________________________________
Address: ____________________________________________________________
: ____________________________________________________________
: ____________________________________________________________