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Text File  |  1994-12-06  |  2KB  |  59 lines

  1.  
  2.     ========================================================================
  3.     *** Evaluation Copy ***         ORDER FORM         Sun  94.11.06 Page  1
  4.     ========================================================================
  5.  
  6.     MAIL, CALL, FAX, E-MAIL ORDERS TO:
  7.                                       
  8.         Public (software) Library
  9.         P.O. Box 35705
  10.         Houston, Texas 77235-5705 U.S.A.
  11.                                       
  12.         Phone:      800-242-4775    CompuServe: 71355,470
  13.         Phone:      713-524-6394    Internet: 71355.470@compuserve.com
  14.         FAX:        713-524-6398
  15.     
  16.     ORDERED BY:
  17.     
  18.         Name:__________________________________________________________
  19.         Company:_______________________________________________________
  20.         Address:_______________________________________________________
  21.         City:__________________________________________________________
  22.         State:___________  Country__________  Postal Code:_____________
  23.         Phone:_________________________  FAX:__________________________
  24.     
  25.         Name of Primary User of this Product  (for technical support
  26.           and  security purposes):   __________________________________
  27.     
  28.     PRODUCTS ORDERED:
  29.     
  30.         1) Business Clock Link Single-User License,
  31.            Printed Manager's Guide (manual),
  32.            Single Station Technical Support         $175.00  __________
  33.     
  34.         2) License for additional PC's, Networked
  35.            Stations Technical Support.  Qty ___  x  $ 50.00  __________
  36.     
  37.         3) Shipping: $4 domestic, $8 overseas                __________
  38.     
  39.         Total Amount (U.S. Dollars)                          $
  40.                                                              ========== 
  41.     DISKETTE SIZE NEEDED:   ___ 3.5"   ___ 5.25"
  42.     
  43.     METHOD OF PAYMENT:
  44.     
  45.         [ ] Check  [ ] VISA   [ ] MC   [ ] Am Express   [ ] Discover
  46.     
  47.         Card Number: ________________________________________________
  48.     
  49.         Expiration Date: ________ Signature: ________________________
  50.     
  51.     SEND INQUIRIES TO:
  52.     
  53.         BizMark Development
  54.         P.O. Box 182
  55.         Princeton, LA 71067-0182  U.S.A.
  56.     
  57.         Phone: (318) 949-4399       CompuServe: 70262,114
  58.         FAX:   (318) 949-4400       Internet: 70262.114@compuserve.com
  59.