home *** CD-ROM | disk | FTP | other *** search
/ Over 1,000 Windows 95 Programs / Over 1000 Windows 95 Programs (Microforum) (Disc 2).iso / 0218 / order.txt < prev    next >
Encoding:
Text File  |  1997-03-26  |  1.1 KB  |  41 lines
  1.                                    ORDER FORM
  2.  
  3.      Quant                             Each     Total
  4.  
  5.      ____ Copies of Win Gourmet @     $20.00 = ________
  6.  
  7.      Shipping & Handling (regardless of size): __$3.50_
  8.  
  9.                      International Orders Add: __$5.00_
  10.  
  11.          Oklahoma residents, please at 8% tax: ________
  12.  
  13.                                         TOTAL: ________
  14.  
  15.      Disk Size:
  16.      3.5" (1.44Mb) [ ]    5.25" (1.2Mb) [ ]
  17.  
  18.         Name:__________________________________________
  19.  
  20.      Company:__________________________________________
  21.  
  22.      Address:__________________________________________
  23.  
  24.              __________________________________________
  25.  
  26.              __________________________________________
  27.  
  28.        Phone:__________________________________________
  29.  
  30.  
  31.      Visa [ ]    MasterCard [  ]
  32.  
  33.      Credit Card Number: ______________________________
  34.  
  35.      Exp. Date: ________ Signature: ___________________
  36.  
  37.  
  38.  Where did you obtain the shareware version of Win Gourmet?
  39.  
  40.  ________________________________________________________________________
  41.