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Text File  |  1995-01-25  |  2KB  |  51 lines

  1. To order Spirotris 1.2 by mail, please complete the following form
  2. and return it to:
  3.  
  4.      Georges Petryk
  5.      1 greve joliette
  6.      Levis (Quebec)
  7.      G6V 1E0  CANADA
  8.  
  9. -------------------------------------------------------------------
  10.  
  11.                YES! I would like to purchase Spirotris
  12.  
  13.       Name: ______________________________________________________
  14.  
  15.    Company: ______________________________________________________
  16.  
  17.    Address: ______________________________________________________
  18.  
  19.             ______________________________________________________
  20.  
  21.       City: _________________________ State/Province: _____
  22.  
  23.       Zip/Postal Code: __________
  24.  
  25.    Country: ______________________________________________________
  26.  
  27.  Telephone: ______________________________________________________
  28.  
  29.  I heard about Spirotris from: ____________________________________
  30.  
  31.  
  32. 1. Indicate number of units below:
  33.  
  34. ___  Copy(s) of Spirotris Pro.     X   $ 20.00         $__________
  35. ___  Copy(s) of Spirotris Deluxe.  X   $ 25.00         $__________
  36.      
  37.      (Site & Dealer inquiries welcome)
  38.                                                       -------------
  39.  
  40.                                              Total:    $__________
  41.  
  42.  
  43. ___ I've enclosed a check or money order payable to Georges Petryk
  44.  
  45. ___ I've enclosed the payment in cash (for your own security, send
  46.     your payment via registered mail)
  47.  
  48.  
  49.           U.S. and International : payment in US dollar ($20 or $ 25)
  50.           Canada                 : payment in Canadian dollar ($20 or $25)
  51.