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Text File  |  1997-09-08  |  2KB  |  35 lines
  1. TRANSFER 95 UNLIMITED SITE LICENSE ORDER FORM (09/08/97)
  2. ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
  3. FAX this form toll free to: 888.396.6926 or 612.426.6023
  4. Or E-Mail to: itech@mn.uswest.net 
  5. Or mail to: ITS Systems, 14665 Fitzgerald Avenue, Hugo, MN 55038-9301
  6. ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
  7. Todays Date: ____________
  8.  
  9. Name: ________________________________________________________________
  10. Address1: ____________________________________________________________
  11. Address2: ____________________________________________________________
  12. City: _____________________________ State/Province: __________________
  13. Zip/Postal Code: __________________ Country: _________________________
  14. Phone: _______________________________________________________________
  15. FAX: _________________________________________________________________
  16. **E-Mail Address: ____________________________________________________
  17. ** Your email address is not optional. 
  18. ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
  19.                                           Price                 Total
  20. Transfer 95 Personal Edition..............$400.00               ______
  21. Transfer 95 Professional Edition..........$1400.00              ______
  22. Processing Fee............................$5.00                 ______
  23. Total Amount ($U.S Only)                                        ______
  24.  
  25. Credit Card Type: ( )Visa ( )Mastercard ( )AMEX ( )Discover
  26. Credit Card Number: ________________________________ 
  27. Exp. Date(MM/YY): ___________
  28.  
  29. Signature: ___________________________________________________________
  30. ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
  31. Terms:
  32. All orders must be prepaid in US Funds Only.
  33. Address & Zip code must match credit card billing address.
  34. ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
  35.