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Text File  |  1992-06-26  |  2KB  |  52 lines
  1.                 O R D E R     F O R M  /   I N V O I C E
  2.  
  3.                    FuzzGen Eval 1.0
  4.  
  5.  
  6.      NAME:__________________________________________________________
  7.  
  8.      COMPANY: (If Applicable):______________________________________
  9.  
  10.      ADDRESS:_______________________________________________________
  11.  
  12.          _______________________________________________________
  13.  
  14.          _______________________________________________________
  15.  
  16.      MAIL STOP / DEPT:______________________________________________
  17.  
  18.  
  19.      [ ]  Check here if you would like 5.25" disks. FuzzGen ships
  20.           on 3.5" 720k disks by default.
  21.  
  22.      < > Denotes UK/European prices
  23.  
  24.  
  25.      [ ]  FuzzGen REGISTRATION  $15 <£11>
  26.  
  27.      [ ]  FuzzGen II ORDER      $25 <£18>
  28.  
  29.  
  30.      NUMBER of COPIES _____  X    / Copy  = _______________________
  31.  
  32.  
  33.      TOTAL:__________________________________________________________
  34.  
  35.  
  36.      SITE ORDERS PLEASE CALL OR FAX FOR LICENSE INFORMATION. WE ACCEPT
  37.      PURCHASE ORDERS BY FAX FROM QUALIFIED COMPANIES.
  38.  
  39.  
  40.      U S A  /  A U S T R A L I A    |      E U R O P E  /  U K
  41.                                     |
  42.      Make Cheque to:                |    Contact:(Send cheque to)
  43.                                     |
  44.      L.J. Alston                    |    The Thompson Partnership
  45.      Alston Software Labs           |    Churchcroft, Bramshall
  46.      1320 Standiford Ave #242       |    UTTOXETER, Staffordshire ST145DE
  47.      Modesto CA 95350               |
  48.                                     |
  49.      Phone (209) 522 - 8666         |    Phone  889 - 564601
  50.      FAX   (209) 522 - 8666         |    FAX    889 - 563219
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