home *** CD-ROM | disk | FTP | other *** search
/ Stars of Shareware: DFÜ und Kommunikation / SOS-DFUE.ISO / programm / compusrv / gccharge / gccorder.txt < prev    next >
Encoding:
Text File  |  1994-02-06  |  996 b   |  35 lines
  1. GoCIS Charges Order Form
  2. ~~~~~~~~~~~~~~~~~~~~~~~~
  3.  
  4. Please make check or money order payable to Jack J McDowell
  5. and send, along with this form, to
  6.  
  7.                        Jack J McDowell
  8.                        164 Fifth St. N.E.
  9.                        Atlanta, GA 30308
  10.  
  11. GoCIS Charges is $12.95 plus $2.55 shipping and handling.
  12. ~~~~~~~~~~~~~
  13.  
  14.  
  15.     _________ GoCIS Charges registrations @ $12.95 each   _______
  16.               ~~~~~~~~~~~~~
  17.     Shipping & Handling:  $2.55 per registration           _______
  18.  
  19.                                   Total enclosed           _______
  20.  
  21.  
  22.     Name__________________________________________________________
  23.  
  24.     Address_______________________________________________________
  25.  
  26.     City____________________State/Prov.___________________________
  27.  
  28.     Zip/Postal________________  Country___________________________
  29.  
  30.     Phone______________________   Email___________________________
  31.  
  32.     Disk size (circle one):   5.25"    3.5"
  33.  
  34.  
  35.