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Text File  |  1994-01-12  |  2KB  |  49 lines
  1.  
  2.                             THE LAWN MOWER SHOP              
  3.                             Order  Form
  4.  
  5.  
  6.         Fill out the information below, total your order, mail
  7.         or fax the form and your certified check, money order,
  8.         or credit card information (Visa or Master Card only).
  9.  
  10.  
  11. Mail to :  DIY Software Inc.                      Phone (803) 859-1678
  12.        6432 Calhoun Memorial Hiway            Fax   (803) 859-0666
  13.        Easley, SC       29640                 Time Zone - E.S.T    
  14.  
  15.  
  16. Your Name  ___________________________________________________________
  17.  
  18. Company  _____________________________________________________________
  19.  
  20. Address  _____________________________________________________________
  21.  
  22. ______________________________________________________________________
  23.  
  24. ______________________________________________________________________
  25.  
  26. Acquired Shareware Version From: _____________________________________
  27.  
  28.  
  29. Charge Card Info.
  30.  
  31. __Visa __ MC    Card#______________________________ Exp. Date_________
  32.  
  33. Signature ______________________________  Phone# (_____)______________
  34.  
  35.  
  36.     ******************************************************
  37.  
  38.  
  39. Amt.                                          Cost          Extension
  40. Ord'd                                         Each               Cost                                                                          
  41. ____ The Lawn Mower Shop Registration       $ 25.00        $  ________
  42.                                             
  43.  
  44.  
  45.                           Shipping & Handling, Per Order   $      5.00
  46.  
  47.                    South Carolina Residents add  5%  tax   $  ________
  48.                                                                                  Indicate Disk Format  __ 3.5" __ 5.25"            Total   $  ________
  49.