home
***
CD-ROM
|
disk
|
FTP
|
other
***
search
/
Media Share 9
/
MEDIASHARE_09.ISO
/
private
/
osjg.zip
/
OSJGORD.FRM
< prev
next >
Wrap
Text File
|
1993-03-14
|
1KB
|
52 lines
ORDER FORM
THE COMPLETE EDITIONS HAVE INFORMATION ON ALMOST 2,000 CLUBS IN THE
US AND IN CANADA-CONSTANTLY UPDATED. ORDER YOURS TODAY.
NAME:_________________________________________________________
ADDRESS:______________________________________________________
CITY:___________________________________ STATE:_____ ZIP:_______
PHONE: (______)_______-_____________
SEND ME (Select one or more):
QTY TOTAL
Printed Editions $17.00 each _____ $______.___
Diskette Editions $10.00 each _____ $______.___
SPECIFY: ______ 3.5 inch
______ 5.25 inch
TOTAL $______.___
Enclose a check or money order, payable to O.S.J.G. (U.S. funds
only)
or charge
_____VISA _____MasterCard
CARD NUMBER:_______________________________________
EXPIRATION DATE (Mo/Yr):_____/_____
ISSUING BANK:_____________________________________
NAME ON CARD:______________________________________
SIGNATURE:_________________________________________
Send to:
O.S.J.G.
P.O. Box 568
Quincy, IL 62306-0568 USA