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Text File  |  1994-09-09  |  4KB  |  59 lines
  1. INNOVATIVE BUSINESS TECHNOLOGIES, INC.   +++++++++++++++++++++++
  2. 7137 SHADY NELMS DRIVE, SUITE #204       | RexxTool Order Form |
  3. COLUMBUS, OH 43017                       +++++++++++++++++++++++
  4. VOICE/FAX: (614) 791-9055                                                                    
  5.  
  6.                                           Date:  _______________
  7.                                                                   
  8. Company Name:  _________________________________________________       
  9.                                                                   
  10. Name:          _________________________________________________       
  11.                                                                   
  12. Address:       _________________________________________________       
  13.                                                                   
  14. City:          ________________________   State:    ____________       
  15.                                                                   
  16. Zip Code:      ________________________   Country:  ____________       
  17.                                                                   
  18. Telephone:     ________________________                                
  19.                                                                   
  20. Fax:           ________________________                                
  21.  
  22. ================================================================       
  23. For electronic distribution, please list your e-mail address -
  24.                                                                   
  25. CompuServe        Internet         Prodigy        America Online       
  26.                                                                   
  27. Address:       _________________________________________________       
  28.  
  29. ================================================================       
  30.                                                                   
  31.   Quantity   Product Description           Cost           Total        
  32.                                                                    
  33.   ________   RexxTools for OS/2         $149.00      __________
  34.                                                                  
  35.      Shipping and Handling                                 4.00        
  36.                                                                   
  37.      Ohio Residents add 5.75% Sales Tax              __________        
  38.                                                                   
  39.   TOTAL ORDER                                                          
  40.                                                      ==========        
  41.                                                                   
  42. Please send your completed order form, including a check or            
  43. money order (U.S. Funds only) payable to: Innovative Business          
  44. Technologies, Inc.                                                     
  45.  
  46. ================================================================       
  47. For faster service, fax us your order by including your credit         
  48. card information:                                                      
  49.                                                                   
  50. CREDIT CARD:   VISA      MASTERCARD
  51.                                                                   
  52.                                                                   
  53. CREDIT CARD NUMBER: ____________________________________________       
  54.                                                                   
  55. EXPIRATION DATE:    ____________/_______________/_______________       
  56.                                                                   
  57. SIGNATURE:          ____________________________________________
  58. ================================================================                                                                  
  59.