home *** CD-ROM | disk | FTP | other *** search
/ Media Share 9 / MEDIASHARE_09.ISO / private / cajun.zip / ORDER.TXT < prev    next >
Text File  |  1992-03-16  |  2KB  |  51 lines
  1.  
  2.  
  3.  
  4.  
  5.                                  ORDER FORM
  6.  
  7.                       (Note: Press [P] to print a copy)
  8.  
  9.  
  10.        Name:___________________________           Send order to:
  11.  
  12.        Address:________________________         LEON PUBLICATIONS
  13.                                                    P.O. Box 616
  14.        ________________________________         Homeland, CA 92548
  15.  
  16.        ________________________________
  17.                                                   (714) 926-3100
  18.        Phone:__________________________
  19.  
  20.  
  21.             disk size:  []  5.25"    []  3.5"  (please check one)
  22.  
  23.        If you want your  Electronic Book personalized, please give the
  24.        name of person who receives the gift and the name of the donor,
  25.        if desired.
  26.  
  27.        To:____________________________________
  28.  
  29.        From:_____________________________________
  30.  
  31.  
  32.        Qty        Name of Program                 Price     extended
  33.        ====   =================================  =======   ==========
  34.  
  35.        ____   Personalize one disk_____________    $2.00   __________
  36.  
  37.        ____   Cajun Cooking Fun________________   $12.95   __________
  38.  
  39.        ____   Country Antiques For Fun & Profit   $12.95   __________
  40.  
  41.                                                 subtotal:  __________
  42.  
  43.               California residents please add 7.5 % tax    __________
  44.  
  45.                                            total:  __________________
  46.  
  47.  
  48.         Send check or money order in US funds drawn on a US bank.
  49.         Immediate shipment, and no charge for postage & handling.
  50.  
  51.