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Text File  |  1996-09-28  |  3KB  |  40 lines
  1. Software USA                                                      Shareware Library Order Form
  2. (To print this form, select print under the file menu)
  3.                                                                                                                                                             Shipping and Billing Information
  4. Please Print
  5. Name:                                                                                                             
  6.  
  7. Address:                                                                                                          
  8.  
  9. City/Town:                                                                                                                                          
  10.  
  11. State/Province:                                 Postal/Zip Code:                                                                  
  12.  
  13. Phone:(          )                -                        Country:                             Member#:                           
  14. Payment Methods (Credit Card ONLY)
  15. [   ]MasterCard  [   ]Visa  [   ]American Express  [   ]Discover
  16. Credit Card Number:                                     Expiration date:              /              /              
  17. Signiture:                                                         
  18.  
  19. Mail completed forn to:                                  Software USA
  20.                                                                            Attn: Shareware Archives
  21.                                                                            9565 Waples St.
  22.                                                                            San Diego, Ca 92121
  23. Shareware Titles ordered
  24. Fees: $3.00 (US) per program/minimum order of 5 programs
  25. Part Number- Program Name
  26.                          -                                                                     
  27.                          -                                                                     
  28.                          -                                                                     
  29.                          -                                                                     
  30.                          -                                                                     
  31.                          -                                                                     
  32.                          -                                                                     
  33.                          -                                                                     
  34.                          -                                                                     
  35.                          -                                                                     
  36. Subtotal $      
  37. Sales Tax $    (7.75% - CA residents only)
  38. Shipping $       (Charges $4.95(US) / $7.75 (International))Total $                                        
  39.  
  40.