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Text File  |  1998-11-27  |  1.4 KB  |  48 lines

  1. Order form for LatticeWork Software, Inc.
  2.  
  3.  
  4.           Name:_______________________________________
  5.  
  6.           Address:____________________________________
  7.  
  8.           City:_______________________________________
  9.  
  10.           State:____      Zipcode: __________-________
  11.  
  12.           Country:____________________________________
  13.  
  14.                                                            !DISCOUNT!
  15.  Order Roxie's Reading Fish          _________ ($14.95)   Order two or          
  16.  Order Roxie's Math Fish             _________ ($12.95)   more programs
  17.  Order Roxie's ABC Fish              _________ ($ 9.95)   and deduct 20%
  18.  Order Penny Penguin's Math Bingo    _________ ($ 9.95)   from your
  19.  Mattie's Math Games (WIN95 only!)   _________ ($14.95)   order!
  20.  
  21.                         Subtotal:    _________
  22.     if ordering 2 or more, -20%      _________    !DISCOUNT!
  23.     
  24.    PA residents include 6% sales tax _________
  25.  
  26.  
  27.   North America S/H $3.00 first; $1.00 each additional  ________
  28.  
  29.        Overseas S/H $5.00 first; $1.00 each additional  ________
  30.        
  31.  
  32.                                        Total _______________
  33.  
  34.  
  35.  
  36.                         Windows 95 ONLY!
  37.  
  38.                                
  39. Please return with a check in US funds drawn on a US bank to:
  40.  
  41.                   LatticeWork Software, Inc.
  42.                   P.O. Box 362
  43.                   Lafayette Hill, PA 19444
  44.                   USA
  45.  
  46.  
  47. Roxie's ABC Fish (1198)
  48.