home *** CD-ROM | disk | FTP | other *** search
/ Share Gallery 1 / share_gal_1.zip / share_gal_1 / VB / VB002.ZIP / OBLANK < prev    next >
Text File  |  1991-07-23  |  2KB  |  53 lines

  1.                             Resource Order Form
  2.  
  3. Send all orders to:
  4.  
  5. The Technical Group, Inc.                            (217) 585-3456 - Voice
  6. Suite B                                                (217) 585-0164 - FAX
  7. 4545 Industrial Drive                               70274,3274 - CompuServe
  8. Springfield,  IL  62703
  9.  
  10.  
  11. Cat. #                Title                Price
  12.  
  13. _______        _________________________________        __________
  14.  
  15. _______        _________________________________        __________
  16.  
  17. _______        _________________________________        __________
  18.  
  19. _______        _________________________________        __________
  20.  
  21. _______        _________________________________        __________
  22.  
  23. _______        _________________________________        __________
  24.  
  25. _______        _________________________________        __________
  26.  
  27. _______        _________________________________        __________
  28.  
  29. _______        _________________________________        __________
  30.  
  31. _______        _________________________________        __________
  32.  
  33.                         Total        __________
  34. Shipping: $2.00 for the 1st item - 
  35. $1.00 for each additional                    __________
  36.  
  37. Illinois Residents add 7.25% Sales Tax                __________
  38.  
  39.                     Grand Total        __________
  40.  
  41. I enclose my ____ Check  ____ Money Order
  42. Please charge my ____ VISA  ____ Mastercard
  43.  
  44. Acct. #:  __/__/__/__/__/__/__/__/__/__/__/__/__/__/__/__/__/__/__/
  45.  
  46. Expiration Date: _______________
  47.  
  48. Your Signature (Required):  __________________________________
  49.  
  50. For faster service, credit card orders may be faxed to (217) 585-0164.
  51. Items in stock will be promptly shipped.  Some items supplied by other
  52. publishers may take from 4 to 6 weeks for delivery.
  53.