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Text File  |  1990-09-29  |  4KB  |  53 lines
  1.  
  2.  _______________________________________________________________________
  3. |                                                                       |
  4. |                           ++ POP-UPS ++                               |
  5. |                           ++ Ver. 2.0 ++                              |
  6. |                                                                       |
  7. |                        O R D E R     F O R M                          |
  8. |                                                                       |
  9. |     Name:________________________________  Title:________________     |
  10. |                                                                       |
  11. |     Company:_____________________________________________________     |
  12. |                                                                       |
  13. |     Address:____________________________ City:___________________     |
  14. |                                                                       |
  15. |     State:___________   Zip:_____________  Country:______________     |
  16. |                                                                       |
  17. |     Date:_____/_____/_____           (Fill out form completely)       |
  18. |                                                                       |
  19. |_______________________________________________________________________|
  20. |                                                    |       |          |
  21. |            DESCRIPTION (Disk Format 5-1/4" DS DD)  | Price |   Total  |
  22. |____________________________________________________|_______|__________|
  23. |                                                    |       |          |
  24. |    POP-UPS Programs Individual Order               | $15.00|          |
  25. |-----------------------------------------------------------------------|
  26. |    POP-UPS Programs Site Order 2 to 10 Computers   | $25.00|          |
  27. |-----------------------------------------------------------------------|
  28. |    POP-UPS Programs Site Order 11 to 50 Computers  | $50.00|          |
  29. |-----------------------------------------------------------------------|
  30. |    POP-UPS Programs Site Order over 50 Computers   |$100.00|          |
  31. |_____________________________________________Enjoy__|_______|__________|
  32. |                                   |                        |          |
  33. |  Send your Check or Money         |             SUB TOTAL  |          |
  34. |  Order (US Dollars only) to:      |                        |==========|
  35. |                                   | *International ORDERS, |          |
  36. |      Al & Sue Nichols             |     FIRST CLASS MAIL,  |          |
  37. |    4220 N. Bear Canyon Rd.        |     or U.P.S.          |          |
  38. |     Tucson, Arizona 85749         |     (Optional)  $3.00->|          |
  39. |                                   |                        |          |
  40. |  *If not selected, materials      |                        |==========|
  41. |    will be shipped Fourth Class   |                 TOTAL  |          |
  42. |    book rate. (2-3 Weeks).        |              ENCLOSED  |          |
  43. |___________________________________|________________________|__________|
  44. |                                                                       |
  45. |    How did you find out about POP-UPS: Freindlyware ____(And Who?)    |
  46. |                                                                       |
  47. |    BBS  ____   Store  ____  Friend ____   Computer Show ____          |
  48. |                                                                       |
  49. |    Magazine, Other, Or Who: _________________________________________ |
  50. |_______________________________________________________________________|
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