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Text File  |  1995-11-15  |  1.9 KB  |  64 lines
  1. DIMLIB ORDER FORM
  2.  
  3. Please mail this form to:
  4.  
  5. Tim Noonan
  6. 6501 Oakwood Drive
  7. Falls Church, VA 22041
  8. USA
  9.  
  10. CompuServe ID:  75212,664
  11. Internet:       75212.664@compuserve.com
  12. Phone:          (703) 941-3032
  13.  
  14. Date: ________________________
  15.  
  16. Product                                  **Price (US) Qty Subtotal
  17. ------------------------------------------------------------------
  18.  
  19. DimLib 1.0 Registration (no disks)          $  5.00   ___ ________
  20.  
  21. DimLib 1.0 Registration w/Source (one disk) $ 10.00   ___ ________
  22.  
  23. ------------------------------------------------------------------
  24.  
  25. Shipping via E-Mail (per disk)              $  2.50   ___ ________
  26.  
  27. Shipping via Postal Mail (per disk)         $  5.00   ___ ________
  28.  
  29. ------------------------------------------------------------------
  30.  
  31. Total                                                   __________
  32.  
  33. ------------------------------------------------------------------
  34.  
  35. **All payments must be in US dollars.
  36.  
  37. SHIPPING DETAILS
  38.  
  39. Name:             __________________________________________________
  40.  
  41. Title/Department: __________________________________________________
  42.  
  43. Company:          __________________________________________________
  44.  
  45. Address:          __________________________________________________
  46.  
  47.                   __________________________________________________
  48.  
  49.                   __________________________________________________
  50.  
  51. State/Province:   __________________________________________________
  52.  
  53. Post/ZIP Code:    __________________________________________________
  54.  
  55. Country:          __________________________________________________
  56.  
  57. Phone:            (________)________________________________________
  58.  
  59. Fax:              (________)________________________________________
  60.  
  61. E-mail:           __________________________________________________
  62.  
  63. Thank you for your order.
  64.