home *** CD-ROM | disk | FTP | other *** search
/ Media Share 9 / MEDIASHARE_09.ISO / private / ptd_1.zip / ORDER.FRM < prev    next >
Text File  |  1992-08-17  |  2KB  |  61 lines

  1.  
  2.         Order Form 
  3.         
  4.         Personalized Training Diary Ver. 1.01
  5.                      _                 _                 _
  6.         Disk Size:  |_| 5 1/4 360K    |_| 5 1/4 1.2M    |_| 3 1/2 720K
  7.  
  8.         Send PTD To:
  9.  
  10.  
  11.         Name:___________________________________________________
  12.  
  13.         Address:________________________________________________
  14.  
  15.         City:____________________ ST:____ Zip:__________________
  16.  
  17.  
  18.         Please send a check and money order for $79.95 
  19.         ($59.95 before Dec. 1, 1992) payable to: 
  20.         Lake fFfips Software for each copy of PTD.
  21.  
  22.         Connecticut residents include state sales tax.
  23.  
  24.  
  25.         Mail orders to:
  26.  
  27.         Lake fFfips Software, Inc.
  28.         P.O. Box 8904
  29.         New Haven, CT  06532-8904
  30.  
  31.  
  32.  
  33.  
  34.         Suggestions/Comments/Ideas
  35.  
  36.         _____________________________________________________________
  37.         
  38.         _____________________________________________________________
  39.         
  40.         _____________________________________________________________
  41.         
  42.         _____________________________________________________________
  43.         
  44.         _____________________________________________________________
  45.         
  46.         _____________________________________________________________
  47.         
  48.         _____________________________________________________________
  49.         
  50.         _____________________________________________________________
  51.  
  52.                      _______
  53.                 ____|__     |                (R)
  54.              --|       |    |-------------------
  55.                |   ____|__  |  Association of
  56.                |  |       |_|  Shareware
  57.                |__|   o   |    Professionals
  58.              -----|   |   |---------------------
  59.                   |___|___|    MEMBER
  60.  
  61.