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Text File  |  1993-01-31  |  3KB  |  64 lines
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  2.  
  3.  Your can get more information on available CDROM Discs, and also order
  4. Discs via the Digicom BBS at (812) 479-1310 (US Robotics Dual Standard).
  5. Other CDROM's may be available on enquiry.  You may also contact Computers
  6. By Design by voice at (812) 474-0910 or by fax at (812) 474-2264.
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  13.                COMPUTERS BY DESIGN CDROM FAX ORDER FORM
  14.  
  15.                 4600 Vogel Road - Evansville, IN 47715
  16.  
  17.      Voice: (812) 474-0910                  Fax: (812) 474-2264
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  21. NAME: _____________________________________________________________________
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  23. COMPANY: __________________________________________________________________
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  25. ADRESS: ___________________________________________________________________
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  27. CITY: __________________________  ST: _____________________ ZIP: __________
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  29. DAYTIME PHONE NUMBER: _____________________________________________________
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  32.  PRODUCT                                    QTY              PRICE
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  53. Ship Via:  ________________________________________________________________
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  58. Credit Card Type:   VISA      MASTERCARD     DISCOVER      AMERICAN EXPRESS
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  60. Credit Card Number: _______________________________________________________
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  62. Expiration Date: ________________________
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  64. Cardholder Name: __________________________________________________________