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  1. ╒═══════════════════════════════════════════════════════════════════════════╕
  2. │   DISTRIBUTOR ORDER FORM                                                  │
  3. ╞═══════════════════════════════════════════════════════════════════════════╡
  4. │   For a limited time only, DISTRIBUTOR will be available at a discounted  │
  5. │   rate of 10% off the retail price! (This offer is valid till 2/24/94)    │
  6. ╞═══════════════════════════════════════════════════════════════════════════╡
  7. │   I would like to order my copy of DISTRIBUTOR before this generous offer │
  8. │   runs out! Here are my details:                                          │
  9. │                                                                           │
  10. │                                                                           │
  11. │   Name        :_______________________________________________________    │
  12. │                                                                           │
  13. │   Title       :_______________________________________________________    │
  14. │                                                                           │
  15. │   Company     :_______________________________________________________    │
  16. │                                                                           │
  17. │   Address     :_______________________________________________________    │
  18. │                                                                           │
  19. │   City        :_______________________________________________________    │
  20. │                                                                           │
  21. │   State       :_______________________________________________________    │
  22. │                                                                           │
  23. │   PostCode    :_______________________________________________________    │
  24. │                                                                           │
  25. │   Phone       :________________________  Fax:_________________________    │
  26. │                                                                           │
  27. ╞═══════════════════════════════════════════════════════════════════════════╡
  28. │   I wish to order the following network licence copies of DISTRIBUTOR:    │
  29. │                                                                           │
  30. │   ┌─┐ 5 user          ┌─┐ 50 user         ┌─┐ 500 user                    │
  31. │   └─┘                 └─┘                 └─┘                             │
  32. │                                                                           │
  33. │   ┌─┐ 10 user         ┌─┐ 100 user        ┌─┐ 1000 user                   │
  34. │   └─┘                 └─┘                 └─┘                             │
  35. │                                                                           │
  36. │   ┌─┐ 20 user         ┌─┐ 250 user        ┌─┐ ________ user (> 1000)      │
  37. │   └─┘                 └─┘                 └─┘                             │
  38. ╞═══════════════════════════════════════════════════════════════════════════╡
  39. │                                                                           │
  40. │   Please accept a cheque for $_________________.                          │
  41. │                                                                           │
  42. │   I am looking forward to receiving my copy of DISTRIBUTOR!               │
  43. ╘═══════════════════════════════════════════════════════════════════════════╛
  44.