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Text File  |  1996-10-20  |  2KB  |  41 lines

  1. Order Form
  2.  
  3. Yes, I want to order MUSIC LESSONS.
  4. It's easy. You can order MUSIC LESSONS v3.0 for Macintosh by email, fax, phone, or US mail. Please include all of the following information.
  5.  
  6. Please send to:
  7.  
  8. Name:_____________________________________________________
  9. Company:__________________________________________________
  10. Address:__________________________________________________
  11. __________________________________________________________
  12. City State Zip: __________________________________________
  13. Country: _________________________________________________
  14. Phone:____________________________________________________
  15. Fax:______________________________________________________
  16. E-Mail Address:___________________________________________
  17.  
  18. Here's what I want:
  19.                                   Price   Quantity   Amount
  20. MUSIC LESSONS v3.0 for Macintosh   $149  x  ____  = _______
  21. MiBAC Jazz v1.6.1 for Macintosh    $125  x  ____  = _______
  22. MUSIC LESSONS v1.2 for WIndows     $119  x  ____  = _______
  23.                                             Subtotal ______
  24.                      6.5% Sales Tax for MN Residents ______
  25.                  Shipping & Handling ($5, 1-2 items) ______
  26.                                                Total ______
  27. Payment methods:
  28.  
  29. • Check  or Money Order drawn on a US branch bank enclosed, payable in U.S. funds to MiBAC Music Software, Inc. Institutional purchase orders accepted. Check processing my delay shipment slightly.
  30.  
  31. • Credit Card (VISA, Master Card)
  32.  
  33.   Card #______________________________________ Exp.________
  34.   Cardholder's Name _______________________________________
  35.   Cardholder's Signature __________________________________
  36.  
  37. Send order to:
  38. MiBAC Music Software, Inc.      EMAIL:     info@mibac.com
  39. PO Box 468                                       WEB:     http://www.mibac.com
  40. Northfield MN 55057                PHONE:     507-645-5851
  41. PHONE:  800-645-3945                          FAX:      507-645-2377