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Text File  |  1990-03-14  |  2KB  |  57 lines

  1.  
  2.      ============================ QFORM v1.95 ============================
  3.  
  4.                               *** ORDER FORM ***
  5.  
  6.                              please print clearly
  7.  
  8.           name ___________________________________________________
  9.  
  10.   company name ___________________________________________________
  11.  
  12.     address(1) ___________________________________________________
  13.  
  14.     address(2) ___________________________________________________
  15.  
  16.           city ___________________________________________________
  17.  
  18. state/province ___________________________________________________
  19.  
  20.   ZIP/postcode ___________________________________________________
  21.  
  22.        country ___________________________________________________
  23.  
  24.  
  25.      diskettes 5-1/4 ________   or   3-1/2 ________ (check one)
  26.  
  27.  
  28.                 Please pay by check or money order in US funds.
  29.             Registered users get the latest version on floppy disk.
  30.             Multiuser site licenses available. Inquire for pricing.
  31.  
  32.  
  33.  Pricing: Disk and single-user license $10
  34.                            Update disk $5
  35.  
  36.  
  37.                      description                qty     price   total
  38.   ___________________________________________________________________________
  39.  
  40.  
  41.              QForm registration and diskette   ______    $10    ______
  42.  
  43.  
  44. Shipping and Handling: worldwide AirMail no extra charges
  45.  
  46.   ___________________________________________________________________________
  47.  
  48.  
  49. mail check or money order to:
  50.  
  51.         Dave Williams
  52.         GRU Development
  53.         PO Box 181-B
  54.         Jacksonville AR 72076-0181 USA
  55.  
  56.  
  57.