home *** CD-ROM | disk | FTP | other *** search
/ Share Gallery 1 / share_gal_1.zip / share_gal_1 / SS / SS054.ZIP / ORDER.ME < prev    next >
Text File  |  1991-03-05  |  4KB  |  49 lines
  1.  
  2.       ________________________________________________________________________
  3.      |                                                                        |
  4.      |                               TRIUS, Inc.                              |
  5.      |                              P.O.  Box 249                             | 
  6.      |                      231 Sutton Street, Suite 2D-3                     |
  7.      |                        North Andover,  MA  01845                       |
  8.      |              Tel. (508) 794-9377     Fax. (508) 688-6312               |
  9.      |________________________________________________________________________|
  10.      |                         O R D E R     F O R M                          |
  11.      |                                                                        |
  12.      |     Name:________________________________   Title:________________     |
  13.      |                                                                        |
  14.      |     Company:______________________________________________________     |
  15.      |                                                                        |
  16.      |     Address:____________________________  City:___________________     |
  17.      |                                                                        |
  18.      |     State:___________   Zip:_____________   Country:______________     |
  19.      |                                                                        |
  20.      |     Date:_____/_____/_____            (Fill out form completely)       |
  21.      |________________________________________________________________________|
  22.      |            DESCRIPTION                     |# |  Price |  Each  |Total |
  23.      |____________________________________________|__|________|________|______|
  24.      |   ALITE Spreadsheet Version 1.10           |  | $20.00 | $25.00 |      |
  25.      |       Shipping and Handling                |  |  $5.00 |        |      |
  26.      |____________________________________________|__|________|________|______|
  27.      |  ** Massachusetts Residents add 5% MA State Sales Tax **    |          |
  28.      |_____________________________________________________________|__________|
  29.      |  ** International Orders add $8.00 for Air Mail Shipping ** |          |
  30.      |_____________________________________________________________|__________|
  31.      |                                                             |          |
  32.      | ******************  TOTAL ENCLOSED  (US FUNDS) ************ |          |
  33.      |  Call for current prices and to place credit card orders.   |          |
  34.      |_____________________________________________________________|__________|
  35.      |                                                                        |
  36.      | Disk Size:  5-1/4" ___  3-1/2" ___   Check __   VISA __  MasterCard __ |
  37.      |                                                                        |
  38.      | Card #_________________________________       Exp. Date  ___/___       |
  39.      |                                                                        |
  40.      | Signature ____________________________________________________________ |
  41.      | How did you find out about our products?                               |
  42.      |                                                                        |
  43.      |    BBS  ____   Store  ____   Friend ____   Computer Show ____          |
  44.      |    Magazine _______________________________________ Other ____________ |
  45.      |________________________________________________________________________|
  46.  
  47.  
  48.  
  49.