home *** CD-ROM | disk | FTP | other *** search
/ Media Share 9 / MEDIASHARE_09.ISO / pascal / tpmagic.zip / ORDER.FRM < prev    next >
Text File  |  1992-01-09  |  2KB  |  45 lines
  1.  
  2.                                   Order Form
  3.  
  4.          Name___________________________
  5.  
  6.          address________________________        ANOTHER COMPANY
  7.                                                   P.O. Box 298
  8.          _______________________________     Applegate, OR 97530 USA
  9.  
  10.          _______________________________
  11.  
  12.          phone__________________________
  13.  
  14.                 disk size:   5.25"   3.5"   (please circle one)
  15.  
  16.           Qty    Item                                Price    subtotal
  17.          ====  ====================================  =======  ========
  18.  
  19.          ____  Registration, Pascal Magic__________  $29.95  _________
  20.  
  21.          ____  Source Code, Pascal Magic___________  $29.95  _________
  22.  
  23.          ____  Success With Shareware______________  $19.95  _________
  24.  
  25.          ____  ____________________________________  ______  _________
  26.                (other Another Company Products)
  27.          ____  ____________________________________  ______  _________
  28.  
  29.          ____  ____________________________________  ______  _________
  30.  
  31.          ____  ____________________________________  ______  _________
  32.  
  33.          ____  ____________________________________  ______  _________
  34.  
  35.          ____  Another Company Complete Catalog____   free   _________
  36.  
  37.  
  38.                  Postage, (must include with all orders)     ____3.00_
  39.  
  40.                                                 total:  ______________
  41.  
  42.            Send check or money order in US funds drawn on a US bank.
  43.                         All orders shipped immediately.
  44.                 (No extra postage charge for overseas orders!)
  45.