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Text File  |  1993-12-13  |  2KB  |  45 lines

  1.  
  2.  
  3.  
  4.         Remit to:                   Sci-Vision                 Order Form
  5.                                    PO Box 941532                 2.01
  6.                                      Suite 269
  7.                                     Dallas,Texas   
  8.                                      75094-1532        
  9.  
  10.        
  11.    Qty            
  12.  
  13.    ___    StarWorks Disk (Full-Function Version).... @ $19.50 ea. $ ____
  14.                 (includes program and manual on disk)
  15.                    
  16.         
  17.              Shipping                                             $ 4.00
  18.         
  19.                  (Texas residents  add 8.25% sales tax)      Tax  $ ____
  20.         
  21.                                                            Total $ ______
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  23.         
  24.      *** IMPORTANT *** ALL PAYMENT MUST BE THROUGH A US BANK IN US DOLLARS.                                                   
  25.         
  26.         Payment by:   ( ) Check drawn on US Bank in US Dollars
  27.                       ( ) International Money Order in US Dollars
  28.                       ( ) Traveler's Checks in US Dollars
  29.                       ( ) US Currency (for NON-US orders)
  30.         
  31.         Sorry, no Credit Card or C.O.D. orders will be accepted. 
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  34.     Name: ____________________________________________________________
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  36.     Organization: _______________________________________________________
  37.     
  38.     Address: ____________________________________________________________
  39.         
  40.            : ____________________________________________________________
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  42.            : ____________________________________________________________
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