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Text File  |  1995-10-03  |  1KB  |  36 lines
  1. Product:  QuickPop 2.0                       Purchase Order     
  2.                                              Date:________
  3. ____________________________________________________________________
  4.  
  5. Name:
  6. [1]
  7. [2]
  8. [3]
  9. Phone/FAX:   [4]       [5]
  10.  
  11. Email:   [6]
  12.  
  13. Comments:   [7]  
  14.  
  15. Payment Method..........:   [8]
  16. Purchase Order #.......:   [9][10][11]
  17.  
  18. Price per copy............:   $10.00
  19. Number of copies........:   [12]
  20. Quantity Discount.......:   [13]
  21. Send Latest?...............:   [14]
  22. Sales Tax (CA Only)...:   [15]
  23.  
  24. Total Due....................:   [16]
  25.  
  26. [17]
  27. ____________________________________________________________
  28. Please send this form to:
  29.  
  30. John V. Holder                                                           Email addresses (AOL is preferred):
  31. 2862 Lowell Street                                                   America Online:  JohnHolder
  32. Eureka, CA  95501-4315                                         Internet...........:  JohnHolder@aol.com
  33. USA                                                                            CompuServe....:  75040,1126
  34.  
  35. FAX:  (707) 443-3813
  36.