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Text File  |  1986-02-06  |  1KB  |  45 lines

  1. WALMYR Publishing Company                 Date: _________________
  2. PO Box 3554, Leon Station
  3. Tallahassee, FL 32315
  4.  
  5. Dear Walmyr: 
  6.  
  7.   Enclosed is my check or money order for my purchase of ICES.
  8.  
  9. NAME: ___________________________________________________________
  10.  
  11. ADDRESS: ________________________________________________________
  12.  
  13.          ________________________________________________________
  14.  
  15. CITY: ______________________________  STATE: _____ ZIP: _________
  16.  
  17. PHONE: (   ) _____ - ________ 
  18.  
  19.  
  20. PLEASE PRINT THE INSTRUCTOR'S TITLE AND NAME AS IT IS  TO  APPEAR
  21. IN  THE  PROGRAM.   YES,  THE PROGRAM WILL BE CUSTOMIZED FOR YOUR
  22. USE.
  23.  
  24. INSTRUCTOR'S TITLE: _______________
  25.  
  26. INSTRUCTOR'S NAME: ______________________________________________
  27.  
  28.  
  29. PROGRAM                                           PRICE    AMOUNT
  30.  
  31. Interactive Computer Examination Supervisor     $139.95  $ ______
  32.  
  33. ICES Demonstration Diskette*                    $ 10.00  $ ______
  34.  
  35. Florida residents add five percent sales tax.            $ ______
  36.  
  37. Total                                                    $ ______
  38.  
  39.  * Not Refundable but will be credited toward subsequent purchase
  40. of the ICES System.
  41.  
  42.  
  43. NOTE:  Send  in  your  order  and  payment  by August 15, 1986 to
  44. purchase the program at the introductory price of $89.95.
  45.