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  1. ORDER FORM      
  2.         Micro Spec
  3.         P.O. Box 1885
  4.         Corvallis, OR 97339
  5.         (503) 758-4241
  6.  
  7. DESCRIPTION                               QUANTITY   PRICE EACH   SUBTOTAL
  8. --------------------------------------------------------------------------
  9. (Evaluation Copies are for evaluation only; Registered Copies include
  10. latest released working program, detailed documentation and support.)
  11.  
  12. EVALUATION DISK OF ANY 2 PROGRAMS         _______      $ 5.00    $_______
  13.  
  14. ADW  Utility     Registered Copy          _______      $15.95    $_______
  15.  
  16. Formget Utility  Registered Copy          _______      $12.95    $_______
  17.  
  18. Service Request Manager Reg.Copy          _______      $56.95    $_______
  19.  
  20. Gone Utility     Registered Copy          _______      $12.95    $_______
  21.  
  22. Mclock Utility   Registered Copy          _______      $12.95    $_______
  23.  
  24. POLYROOT         Registered Copy          _______      $20.95    $_______
  25.  
  26. TXTPAINT         Registered Copy          _______      $15.95    $_______
  27.  
  28. PCK utility      Registered Copy          _______      $15.95    $_______
  29.  
  30. Please check one disk size:
  31. ---------------------------                          SUBTOTAL:   $_______
  32. __ 5.25 inches    __ 3.5 inches
  33.                                                      SHIPPING:   $___3.50
  34.  
  35.           COD: $3.50 * UPS 2-DAY AIR: $5.00 * Foreign: $15.00:   $_______
  36.  
  37.                                                          TOTAL  $_______
  38.  
  39.  
  40. NAME________________________________________   PHONE______________________
  41.  
  42. COMPANY_____________________________________   PHONE______________________
  43.  
  44. MAILING ADDRESS____________________   UPS/SHIPPING ADDRESS________________
  45.  
  46. ___________________________________   ____________________________________
  47.  
  48. CITY____________STATE____ZIP_______   CITY_____________STATE____ZIP_______
  49.  
  50.              SIGNATURE________________________________   DATE___/___/_____
  51.  
  52.    *******************************************************************
  53.    *** Please make CHECK or MONEY ORDER payable to :   MOUSSAOUI   ***
  54.    *******************************************************************
  55.  
  56. **********************************************************************
  57. We would also appreciate any input you would care to offer about
  58. our programs.  If you have any ideas or comments that would make
  59. them better programs, please let us know.  
  60. NOTE: Please include your electronic mail address if you have one.
  61. ______________________________________________________________________
  62.  
  63. ______________________________________________________________________
  64.  
  65. ______________________________________________________________________
  66.  
  67. ______________________________________________________________________
  68.  
  69.