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Text File  |  2001-10-15  |  2KB  |  46 lines
  1.                  DEXTERITY SOFTWARE ORDER FORM        [FTZ100]
  2.                        www.dexterity.com
  3.             ***  Please Type or Print Clearly  ***
  4.  
  5. Name _________________________________________________________
  6.  
  7. Address ______________________________________________________
  8.  
  9. City __________________ St./Prov. ___________ ZIP/Code _______
  10.  
  11. Country _________________ Email ______________________________
  12.  
  13.                 *** Mark your choice below ***
  14.        All prices are in US Dollars, shipping included
  15.  
  16. Fitznik
  17.  [ ]  Download link sent to the email address above   ($19.95)
  18.  [ ]  Shipped via first class mail on CD-ROM          ($24.95)
  19.  
  20.                                          SUBTOTAL: $__________
  21.  
  22.    California State residents add 8.00% sales tax: $__________
  23.  
  24.                                       TOTAL ORDER: $__________
  25.  
  26. Make checks payable to "Dexterity Software."
  27.  
  28. [ ] Cash (US Dollars only)
  29. [ ] Check (Must be in US Dollars and drawn against a US bank)
  30. [ ] Money Order
  31. [ ] Credit Card (VISA / MasterCard / Discover accepted)
  32.  
  33.     Name on Card _____________________________________________
  34.  
  35.     Card Number ___________________________ Exp Date ____/____
  36.  
  37.     Signature ________________________________________________
  38.  
  39. Mail to:    Dexterity Software
  40.             P.O. Box 571961
  41.             Tarzana, CA  91357-1961
  42.             USA
  43.  
  44. or Fax to:  1-530-579-7241        (Credit Card Orders Only)
  45.  
  46.             *** Thank you for your order! ***