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Text File  |  1991-03-18  |  2KB  |  43 lines
  1.                           ORDER/REGISTRATION FORM
  2.                           -----------------------
  3.                                                                   
  4.     Name:________________________________  Title:________________ 
  5.                                                                   
  6.     Company:_____________________________________________________ 
  7.                                                                   
  8.     Address:____________________________ City:___________________ 
  9.                                                                   
  10.     State:___________   Zip:_____________  Country:______________ 
  11.                                                                   
  12.     Date:_____/_____/_____           (Fill out form completely)   
  13.  
  14.     ---------------------------------------------------------------
  15.     Product                     #     Price/ea     S&H       Total 
  16.     ---------------------------------------------------------------
  17.     DRAFT CHOICE (CAD)         ___    _$50.00_    _$5.00_   _______
  18.  
  19.     AS-EASY-AS Spreadsheet     ___    _$50.00_    _$5.00_   _______
  20.  
  21.     PIVOT (Sideways Printing)  ___    _$15.00_    _$5.00_   _______
  22.                                                          ----------
  23.     * International Orders, Add 7.5%                        _______
  24.  
  25.     * Mass Residents add appropriate sales tax              _______
  26.  
  27.                                      TOTAL ENCLOSED      __________
  28.  
  29.     Disk Size: [ ] 5-1/4"   [ ] 3-1/2"   [ ] Check  [ ] Visa  [ ] MC
  30.     
  31.     Card# __________________________________     Exp. Date ________
  32.     
  33.     Signature ______________________________
  34.  
  35.     How did you hear about our Products?  [ ] BBS   [ ] Friend  
  36.     [ ] Other _____________________________________________________
  37.  
  38.                 Mail Completed form with Payment to: 
  39.           TRIUS, Inc.,  P.O. BOX 249, N. Andover, MA 01845.
  40.     Prices subject to change without notice.  For latest prices and 
  41.            credit card orders you may call: (508) 794-9377
  42.  
  43.