home *** CD-ROM | disk | FTP | other *** search
/ Frostbyte's 1980s DOS Shareware Collection / floppyshareware.zip / floppyshareware / GLEN / WSD.ZIP / ORDER.FRM < prev    next >
Text File  |  1991-01-12  |  4KB  |  56 lines
  1.  
  2. ------------------------------------------------------------------
  3. |                        ORDER FORM                              |
  4. |                        ----------                              |
  5. |                                                                |
  6. |   THE WHOLESALE SOURCE DIRECTORY, electronic book, will be     |
  7. |   sent by first class mail.  Your copy(s) will be on high-     |
  8. |   quality, name-brand disk(s); 5-1/4" 2SHD floppy.             |
  9. |                                                                |
  10. |                                                                |
  11. |                                                                |
  12. |                                                                |
  13. |   QUANTITY ________   @ $10.00 ea.   Total $_________________  |
  14. |                                                                |
  15. |                                                                |
  16. |                        Shipping & Handling $______2.00_______  |
  17. |                                                                |
  18. |                                                                |
  19. |              NJ residents add 7% sales tax $_________________  |
  20. |                                                                |
  21. |                                                                |
  22. |                            Amount enclosed $_________________  |
  23. |                                                                |
  24. |                                                                |
  25. |                                                                |
  26. |    Payment method:   []check   [] money order                  |
  27. |                                                                |
  28. |                                                                |
  29. |    * Make check or money order payable to: Norman Price        |
  30. |                                                                |
  31. |                                                                |
  32. |    Send to:                                                    |
  33. |    The All Night Book Store                                    |
  34. |    P.O.Box 81                                                  |
  35. |    Belleville, NJ 07109                                        |
  36. |                                                                |
  37. |                                                                |
  38. |                                                                |
  39. |                                                                |
  40. |    Name _____________________________________________________  |
  41. |                                                                |
  42. |                                                                |
  43. |    Address __________________________________________________  |
  44. |                                                                |
  45. |                                                                |
  46. |    City ____________________________ State______ Zip ________  |
  47. |                                                                |
  48. |                                                                |
  49. |                                                                |
  50. |                                                                |
  51. |                  THANK YOU FOR YOUR ORDER !                    |
  52. |                                                                |
  53. |                                                                |
  54. |                                                                |
  55. ------------------------------------------------------------------
  56.