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Text File  |  1991-03-11  |  1KB  |  38 lines
  1. Playin' Possum Order Form
  2.  
  3.  
  4. Quantity            Description        Price Per Copy    Subtotal
  5. _______        Playin' Possum                                 $5.00        _______
  6. _______        Neat Stuff Disk                  5.00        _______
  7. _______        Sounds Disk8                     5.00        _______
  8. _______        Pascal Source Code            5.00        _______                                                                                                                                                                                                        Total:    _______
  9.  
  10. Please print your name and address.
  11.  
  12. Name:    ____________________________________________
  13. Address:    ____________________________________________
  14. City:     ______________    State:_______    Zip Code:_______
  15.  
  16. Your electronic addresses (if any):
  17. Compuserve:        ______________
  18. America Online:        ______________
  19. Connect:            ______________
  20. Other__________:    ______________
  21.  
  22. Where did you find out about Playin' Possum! ?
  23.  ____________________________________________
  24.  
  25. Any comments about Playin' Possum!
  26.  _________________________________________________________
  27. __________________________________________________________________________________________________________________
  28.  
  29. Thanks for your order!
  30.  
  31. Make all checks and money orders payable to Adam Stein. Checks and money orders made out to Insanely Great Software will be returned. Thanks!
  32.  
  33. Please return this form with payment to:
  34. Adam Stein
  35. Insanely Great Software
  36. 126 Calvert Ave. E.
  37. Edison, NJ 08820
  38.