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ORDER.FRM
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Text File
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1991-04-05
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2KB
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57 lines
H Y P E R P A D O R D E R F O R M
RETURN TO:
Brightbill-Roberts & Co.
421 University Building
Syracuse, NY 13202
TO ORDER: Return this order form with your payment, or
if ordering by credit card you can register by
phone at (315) 474-3400, by Compuserve Mail at
75300,363 or through our BBS at (315) 472-1058.
Name:_______________________________ Phone: __________________________
Company:______________________________________________________________
Address: ________________________________________ Suite/Apt.__________
City: ___________________________, State: _________ ZipCode:__________
Normal HyperPAD Registration $ 99.00 ________
HyperPAD Developer Registration (includes Browser) $149.00 ________
Subtotal ________
NY residents add sales tax ________
Shipping and handling charge within USA $ 5.00
TOTAL ________
[] Check enclosed. Make payable to Surf Computer Services, Inc.
or: Charge my [] Visa [] MasterCard [] American Express
Card No.: ______________________________________ Exp.: __________
Name on credit card if different from above:
_______________________________________________________
Your signature:___________________________________