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Text File  |  1996-03-01  |  2KB  |  49 lines

  1. =========================| Ize Order Form |=========================
  2.  
  3.  
  4. Name: ______________________________________________________________ 
  5.  
  6. Street Address: ________________________________________ Apt. ______
  7.  
  8. City: _________________________________ State / Province: __________ 
  9.  
  10. Zip / Postal Code: _______________ Country (if not U.S.): __________
  11.  
  12. Phone: ___________________ E-Mail Address: _________________________
  13.  
  14.  
  15. Where did you obtain your copy of Ize? _____________________________
  16.  
  17. ____________________________________________________________________
  18.  
  19.  
  20. Comments or suggestions related to Ize: ____________________________
  21.  
  22. ____________________________________________________________________
  23.  
  24.  
  25. --------------------------------------------------------------------
  26.  QTY.  |        DESCRIPTION          | UNIT PRICE | EXTENDED PRICE
  27. --------------------------------------------------------------------
  28.   1    |     Ize Registration        |    $5.00   |     $5.00
  29. --------------------------------------------------------------------
  30.   Overseas postage (if applicable)   |    $1.00   |
  31. --------------------------------------------------------------------
  32.                                      |    TOTAL   |     
  33.                                      -------------------------------
  34.  
  35. ***  Make checks or money orders drawn on a U.S. bank and payable in
  36.      U.S. funds to GadgetWare.
  37.  
  38. ***  Please allow about two weeks for delivery.
  39.  
  40. MAIL YOUR PAYMENT AND THIS ORDER FORM TO:
  41.  
  42.                           GadgetWare
  43.                           Attn: Ize
  44.                           PO Box 2536
  45.                           Pueblo, CO  81005-0536
  46.                           USA
  47.  
  48. Thank you for your order!
  49.