home *** CD-ROM | disk | FTP | other *** search
/ Future Workshop / Future Workshop.iso / flowchar / winedge / order.frm < prev    next >
Encoding:
Text File  |  1995-05-18  |  1.5 KB  |  50 lines
  1.  
  2.                              Pacestar Software 
  3.                          EDGE DIAGRAMMER ORDER FORM
  4.  
  5.  
  6. Name (Please Print) ________________________________________________________
  7.  
  8. Company ____________________________________________________________________
  9.  
  10. Address ____________________________________________________________________
  11.  
  12. City _________________________ State/Province __________ ZIP _______________
  13.  
  14. Country _________________________________ Phone/Fax ________________________
  15.  
  16. E-Mail _____________________________________________________________________
  17.  
  18.  
  19. Number of copies:                _______
  20.  
  21. EDGE Diagrammer registration:    
  22.   $89.95 multiply by quantity =  $____________
  23.  
  24. Shipping and Handling charges:   $_____5.00___
  25.  
  26. Arizona Residents Add Sales Tax: $____________ 
  27.                                                
  28. Amount enclosed:                 $____________
  29.  
  30. Mail to:  Pacestar Software           
  31.           P.O. Box 51974        
  32.           Phoenix, AZ  85076-1974
  33.  
  34.  
  35. Make check or money order payable to "Pacestar Software".  
  36. Sorry, we cannot accept credit cards.
  37.  
  38. Where did you get EDGE Diagrammer?
  39.  
  40. [ ] Downloaded from a BBS: BBS Name______________________________
  41. [ ] Shareware Catalog Vendor: Vendor Name:_______________________
  42. [ ] Retail Shareware Rack: Rack Vendor Name:_____________________ 
  43. [ ] Ordered it from us 
  44. [ ] A friend gave it to me 
  45. [ ] A Shareware CD-ROM
  46. [ ] None of the above 
  47. [ ] Unknown
  48.  
  49.  
  50.