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Text File  |  1995-07-25  |  2KB  |  58 lines
  1.  
  2.     ========================================================================
  3.     *** Evaluation Copy ***         ORDER FORM         Sun  07/09/95  Pg   1
  4.     ========================================================================
  5.  
  6.     SEND CHECKS, INQUIRIES, SUGGESTIONS AND COMMENTS TO:
  7.     
  8.         BizMark Development
  9.         P.O. Box 182
  10.         Princeton, LA 71067-0182 U.S.A.
  11.                                     America Online: BizMarkDev
  12.         Phone: (318) 949-4399       CompuServe: 70262,114
  13.         FAX:   (318) 949-4400       Internet: 70262.114@compuserve.com
  14.     
  15.     CREDIT CARD ORDERS ONLY (VISA, Master Card, AmEx, Discover):
  16.     
  17.         Phone:      800-242-4775    CompuServe: 71355,470
  18.         Phone:      713-524-6394    Internet: 71355.470@compuserve.com
  19.         FAX:        713-524-6398
  20.     
  21.         NOTE! Request Product #11665.
  22.         NOTE! Please include the address of the cardholder.
  23.     
  24.     ORDERED BY: (if paying by credit card,
  25.                  please give address of cardholder)
  26.     
  27.         Name:__________________________________________________________
  28.         Company:_______________________________________________________
  29.         Address:_______________________________________________________
  30.         City:__________________________________________________________
  31.         State:___________  Country__________  Postal Code:_____________
  32.         Phone:_________________________  FAX:__________________________
  33.     
  34.         Name of Primary User of this Product  (for technical support
  35.           and  security purposes):   __________________________________
  36.     
  37.     PRODUCTS ORDERED:
  38.     
  39.         1) Business Clock Link v1.8 Site License,
  40.            Printed Manager's Guide (manual),
  41.            Technical Support                        $149.00  __________
  42.     
  43.         2) Shipping: $4 USA & Canada, $8 International       __________
  44.     
  45.         Total Amount (U.S. Dollars)                          $
  46.                                                              ==========
  47.     DISKETTE SIZE NEEDED:   ___ 3.5"   ___ 5.25"
  48.     
  49.     METHOD OF PAYMENT:
  50.     
  51.         [ ] Check  [ ] VISA   [ ] MC   [ ] Am Express   [ ] Discover
  52.     
  53.         Card Number: __________________________________________________
  54.     
  55.         Expiration Date: ________ Signature: __________________________
  56.     
  57.         Name of Cardholder: ___________________________________________
  58.