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Text File  |  1996-12-08  |  2KB  |  56 lines
  1. Software Registration Form                                 Invoice
  2. ____________________________________________________________________
  3. To:  Accounts Payable
  4.  
  5. Please pay the following invoice.  Make the check payable to ‚ÄúJohn V. Holder‚Äù and send to the address listed below.
  6.  
  7. You must include a copy of this invoice with your payment.
  8.  
  9.  
  10. Invoice Approved: ________________________________
  11.  
  12. Name:
  13. [1]
  14. [2]
  15. [3]
  16. Phone/FAX:   [4]       [5]
  17.  
  18. Email:   [6]
  19.  
  20. Comments:   [7]  
  21.  
  22. Payment Method:   [8][9][10][11]
  23.  
  24. Products Ordered:
  25. ([12]) TakeABreak 2.0 ($10 each).................:   [13]
  26. ([14]) QuickScrap ($15 each)........................:   [15]
  27. ([16]) ScrapIt Pro ($20 each).......................:   [17]
  28. ([18]) QuickScrap & ScrapIt Pro ($30 each):   [19]
  29. ([20]) QuickPop ($10 each)...........................:   [21]
  30. ([22]) ViewFont ($5 each)..............................:   [23]
  31. ([24]) ColorFall ($10 each)...........................:   [25]
  32. ([26]) Escape! ($10 each)..............................:   [27]
  33. ([28]) SideMinder ($10 each)........................:   [29]
  34.  
  35. Quantity Discount...........:   [30]
  36. Send Latest?...(adds $5):   [31]
  37. Disk Size (800k or HD):   [32]
  38. Sales Tax (CA Only).......:   [33]
  39. Note: Sales Tax is only collected if you've requested a disk and you live in California
  40.  
  41. Total Due.........................:   [34]
  42.  
  43. [35]
  44. ____________________________________________________________________
  45. Print this form and send your check (made payable to ‚ÄúJohn V. Holder‚Äù) to:
  46.  
  47. John V. Holder                                                           Email addresses (AOL is preferred):
  48. 1734 "S" Street                                                        America Online:  JohnHolder
  49. Eureka, CA  95501                                                   Internet...........:  JohnHolder@aol.com
  50. USA                                                                            CompuServe....:  75040,1126
  51.  
  52. FAX:  (707) 443-3813
  53.  
  54. Home Page:   http://www.northcoast.com/~jvholder
  55. (check for the latest new releases and updates!)
  56.