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Text File  |  1999-03-02  |  2KB  |  54 lines
  1. -----Gepeto Software Order Form-----
  2. (Please print this form, fill it out,
  3. and mail it with your payment to complete your order.)
  4.  
  5. **Make Checks or Money Orders Payable to:  Joe Tompkins
  6.  
  7. Send this completed form with payment to:
  8. Joe Tompkins
  9. 130 Wintergreen Ct
  10. Covington, GA 30016
  11.  
  12.  
  13. Your Name___________________________________________
  14.  
  15. -or-
  16.  
  17. School Name__________________________________________
  18.  
  19.  
  20. Email Address
  21. (to receive registration code via Email--Allow 2 weeks for reply):
  22.  
  23. _____________________________________ 
  24.  
  25.  
  26. Mailing Address
  27. (to receive registration code via postal mail-- allow 5 weeks for reply)
  28. -United States Addresses ONLY-- All others will receive code via email-
  29.  
  30. Street:_______________________________________________________
  31.  
  32. City__________________State_________ Zip_________________________
  33.  
  34.  
  35. Please indicate the product(s) you wish to register below:
  36.  
  37. ________________________________________________________________________
  38. Product:            | Quantity |  Unit Price  |   Total    |
  39. -------------------------------------------------------------------------
  40. Vocab-Flash (Single User)    |       |  $10.00 (US) |        |
  41. -------------------------------------------------------------------------
  42. Vocab-Flash (Site License)    |       |  $50.00 (US) |        |
  43. -------------------------------------------------------------------------
  44. StoryMaker (Single User)    |       |  $10.00 (US) |        |
  45. -------------------------------------------------------------------------
  46. StoryMaker (Site License)    |       |  $50.00 (US) |        |
  47. -------------------------------------------------------------------------
  48. Kid Cards (Single User)        |       |  $10.00 (US) |        |
  49. -------------------------------------------------------------------------
  50. Kid Cards (Site License)    |       |  $50.00 (US) |        |
  51. -------------------------------------------------------------------------
  52.                         Total Enclosed:
  53.  
  54.