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ORDER.TXT
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1993-04-28
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3KB
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60 lines
ORDER FORM
__________
Purchaser Name : _________________________________________________________
Company Name (50 characters max.) : _______________________________________
(Enter the company name as it is to appear on your software license)
Company Address : ___________________________________________
___________________________________________
___________________________________________
Phone : ( ) - Ext -
___________________________________________
┌────────────────────────────┬──────────┬────────────┬───────────────┐
│ │ Quantity │ │ │
│ Description ├────┬─────┤ Unit Price │ Total │
│ │ 3½ │ 5¼ │ │ │
╞════════════════════════════╪════╪═════╪════════════╪═══════════════╡
│(400000) INSIGHT Demo │ │ │ $ 10.00 │ $ │
├────────────────────────────┼────┼─────┼────────────┼───────────────┤
│(400001) INSIGHT For SIM │ │ │ $ 1250.00 │ $ │
├────────────────────────────┼────┼─────┼────────────┼───────────────┤
│(400002) INSIGHT For IMG │ │ │ $ 1750.00 │ $ │
├────────────────────────────┼────┼─────┼────────────┼───────────────┤
│(400003) INSIGHT For MMG │ │ │ $ 2500.00 │ $ │
├────────────────────────────┼────┼─────┼────────────┼───────────────┤
│(400004) INSIGHT For UMG │ │ │ $ 3500.00 │ $ │
├────────────────────────────┼────┼─────┼────────────┼───────────────┤
│(400100) MatPort │ │ │ $ 50.00 │ $ │
├────────────────────────────┼────┼─────┼────────────┼───────────────┤
│(400110) 32MegFix │ │ │ $ 50.00 │ $ │
╞════════════════════════════╧════╧═════╧════════════╪═══════════════╡
│ Subtotal │ $ │
├────────────────────────────────────────────────────┼───────────────┤
│ Applicable NYS Sales Tax (NY Residents Only) │ $ │
├────────────────────────────────────────────────────┼───────────────┤
│ Shipping & Handling (Total Items X $5.00) │ $ │
├────────────────────────────────────────────────────┼───────────────┤
│ *** TOTAL *** │ $ │
└────────────────────────────────────────────────────┴───────────────┘
Make check or money order payable to On-Line Data Solutions, Inc.
Mail order form and payment to : On-Line Data Solutions, Inc.
P.O. Box 1457
Lake Grove, NY 11755-9998
Allow 4 to 6 weeks for delivery. All prices are subject to change without
notice. A 15% restocking fee is applicable to all items returned. Only
uninstalled/unopened software is acceptable for return. Items must be
returned within 14 days.
Ord1.06