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TEXT_1132_Credit Card Order form (email).txt
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1996-06-30
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1KB
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45 lines
Product: QuickPop 2.11
____________________________________________________________________
Name:
[1]
[2]
[3]
Phone/FAX: [4] [5]
Email: [6]
Comments: [7]
Payment Method:
[8]
[9]
[10]
[11]
Price per copy..........: $10.00
Number of copies........: [12]
Quantity Discount.......: [13]
Send Latest?...(adds $5): [14]
Disk Size (800k or HD)..: [15]
Sales Tax (CA Only).....: [16]
Note: Sales Tax is only
collected if you've requested
a disk and you live in
California
Total Due...............: [17]
[18]
____________________________________________________________________
Email this registration form to:
John V. Holder Email addresses (AOL is preferred):
1734 "S" Street America Online: JohnHolder
Eureka, CA 95501 Internet......: JohnHolder@aol.com
CompuServe....: 75040,1126
FAX: (707) 443-3813
Home Page: http://www.northcoast.com/~jvholder
(check for the latest new releases and updates!)