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Text File  |  1993-01-20  |  2KB  |  52 lines
  1.                                  ORDER.FRM      
  2.                                -------------
  3.  
  4.                             Return to:     Vernalwood Conceptual Enhancements
  5.                                            16 Darling Road
  6.                                            Dudley, MA 01571
  7.  
  8.   Name ______________________________________________________________
  9.  
  10.   Company ___________________________________________________________
  11.  
  12.   Address ___________________________________________________________
  13.  
  14.           ___________________________________________________________
  15.  
  16.   Phone _____________________________________________________________
  17.   
  18.   
  19.   Product Name _____________________________________ Price _________
  20.  
  21.   Product Name _____________________________________ Price _________
  22.  
  23.   Product Name _____________________________________ Price _________
  24.  
  25.   Product Name _____________________________________ Price _________
  26.  
  27.  
  28.   Diskette size:  ____ 5.25" acceptable       ____ 3.5" required*
  29.  
  30.   Subtotal                                                 _________
  31.  
  32.   Orders outside the USA add $4.00                         _________
  33.  
  34.   *Add $2.00 for 3.5"                                      _________
  35.  
  36.   Subtotal                                                 _________
  37.  
  38.   Massachusetts residents add appriopriate sales tax       _________
  39.  
  40.   *Add $5.00 for UPS ground Shipping                       $   5.00
  41.  
  42.       Please find enclosed a check or money order for USA $_________
  43.  
  44.   This shows my support of Shareware products and the Shareware concept.
  45.   It also shows my encouragement to help further development of VCEWIN.
  46.  
  47.  
  48.   Signed: _________________________________________  Date: _________
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