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Text File  |  1994-06-07  |  2KB  |  57 lines
  1. ORDER FORM
  2.  
  3. Name  (Please Print) __________________________________________________
  4.  
  5. Address _______________________________________________________________
  6.  
  7. City  ________________________________ State __________ Zip ___________
  8.  
  9. Country (if not USA) _________________  Phone/Fax _____________________
  10.  
  11. DISK SIZE:   [ ] 3.5" 1.4MB         [ ] 5.25" 1.2MB
  12.  
  13. [ ] TESTAID FOR WINDOWS                           $15.00 (U.S. DOLLARS)
  14.  
  15. SHIPPING CHARGES:                     | TOTALS:
  16. [ ] @ $15.00 EA                       |                        $________
  17. [ ] USA - NO CHARGE                   | SHIPPING AND HANDLING  $________
  18. [ ] OTHER - $10.00                    | (.0625) UTAH SALES TAX $________ 
  19.                                       |
  20.                                       | AMOUNT ENCLOSED        $________
  21.  
  22. **************************************************************************
  23.  
  24.  
  25. MAIL TO:    PMJ DEVELOPMENTS
  26.             P.O. BOX 70464
  27.             WEST VALLEY CITY, UT  84170
  28.  
  29.  
  30. NOTE:  NO RETURNS.   If disk is damaged through mail please send disk
  31.                      and all original packaging material to above address.
  32.                      Your package will be mailed out promptly.
  33.  
  34. FOR VERIFICATION OF YOUR ORDER PLEASE SIGN BELOW:
  35.  
  36. SIGNATURE:   ____________________________________ DATE:  _______________
  37.  
  38.  
  39.         NOTE:   MAKE CHECKS PAYABLE TO "PMJ DEVELOPMENTS"
  40.  
  41.                 PLEASE ALLOW ONE-TWO WEEKS FOR DELIVERY
  42.  
  43.                 *****  THANK YOU!  *****
  44.  
  45.  
  46.  
  47. Where did you get TestAid from?    _____________________________________
  48.  
  49. COMMENTS:
  50. ________________________________________________________________________
  51. ________________________________________________________________________
  52. ________________________________________________________________________
  53. ________________________________________________________________________
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