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Text File  |  1992-04-29  |  2KB  |  50 lines
  1.                                   ORDER FORM
  2.           ------------------------------------------------------------
  3.  
  4.           Popup Help & Data (Ph.D.) V1.0         S/N: PHD1.0__________
  5.  
  6.           Mail To:  Applied Micro Systems Technology
  7.                     P.O. Box 1784
  8.                     Stillwater, OK  74076
  9.                     (405) 377-0444
  10.  
  11.           Name:     __________________________________________________
  12.  
  13.           Company:  __________________________________________________
  14.  
  15.           Address:  __________________________________________________
  16.  
  17.                     __________________________________________________
  18.  
  19.           Phone:    (______) ______-________
  20.  
  21.  
  22.                Disk: 5.25"[ ]  3.5"[ ]   Quantity    Price    Extended
  23.  
  24.                Popup Help & Data (Ph.D.) ________    35.00    ________
  25.                P&S Backup/Restore        ________    35.00    ________
  26.                P&S Home Manager          ________    35.00    ________
  27.                Upgrades _________________________    15.00    ________
  28.                Volume discounts and site licenses     CALL    ________
  29.                We can create your PHD help files!     CALL    ________
  30.  
  31.                SUBTOTAL                                       ________
  32.  
  33.                Oklahoma residents add 7.5% sales tax          ________
  34.                Shipping (add $2.50 for each item)             ________
  35.                Overseas (add $2.50 for each item)             ________
  36.  
  37.                TOTAL ORDER (U.S. dollars/U.S. bank)           ________
  38.  
  39.  
  40.           Paid by: Check[ ]   Money Order[ ]   VISA[ ]   MC[ ]   PO[ ]
  41.  
  42.           VISA/MC/PO#: _________________________   Exp Date: _________
  43.  
  44.           Signature (rqd for credit card): ___________________________
  45.  
  46.           Where did you hear about this program? _____________________
  47.  
  48.           Comments:
  49.  
  50.