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order.frm
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Text File
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1996-07-10
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3KB
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61 lines
DR SEND (tm) A Novell NetWare broadcast utility
===============================================
Date: ____________________
______________________________
| For Office Use Only |
TO: D'Arcy Rittich |------------------------------|
20 Mineola Rd. E., #65 | License # __________________ |
Mississauga, Ontario | Version __________________ |
CANADA L5G 4N9 | Date sent __________________ |
|______________________________|
FROM:
Name: ____________________________________________
Title: ____________________________________________
Company: ____________________________________________
Address: ____________________________________________
City,Province/State: ____________________________________________
Country: ______________________
Postal/Zip Code: ______________________
Phone Number: ______________________
Fax Number: ______________________
Current version of DR SEND that you are using: __________ (2.52)
Current version of Netware that you are using: __________
=============================================================================
DR SEND site license incl. disk and instructions.............. $35.00
Canadian residents add 7% GST................................. _________
Ontario residents add 8% sales tax............................ _________
Please add $5.00 per package for shipping & handling
anywhere in North America, or $10 per package for
overseas orders............................................... _________
TOTAL ENCLOSED............................................. $
=========
=============================================================================
Please pay by cheque or M.O.
Indicate media preferred: ___ 3 1/2" HD disk ___ 5 1/4" HD disk
Please specify your name and/or company name as you would like it
to appear on the main screen of DR SEND (60 characters maximum):
__________________________________________________________________