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Text File  |  1998-01-01  |  2KB  |  84 lines
  1. BoxTop Software, Inc.
  2. P.O. Box 2347
  3. Starkville, MS 39760 USA
  4.  
  5. 1-601-324-1800 - Voice
  6. 1-601-324-7352 - Fax
  7. sales@boxtopsoft.com
  8. http://www.boxtopsoft.com
  9.  
  10. Sales Contact:
  11. Cindy Johnson - cindy@boxtopsoft.com
  12.  
  13. *You should view and print this order form using a mono-spaced font.
  14.  
  15. Please complete the information below and mail with payment (or Fax for Credit
  16. Card and Purchase Orders) to the address given above. Thank you for your
  17. purchase.
  18.  
  19. ===============================================================================
  20.  
  21. Customer Name: _____________________________________________
  22. Shipping Address: __________________________________________
  23.                   __________________________________________
  24.                   __________________________________________
  25. Email Address: _____________________________________________
  26. Phone Number: ______________________________________________
  27.  
  28.  
  29.  
  30. Product:                                    Quantity:
  31.  
  32. PhotoGIF Filter 1.0 Windows                 (   ) $69.95 each
  33. ImageVice 1.0 Windows                       (   ) $49.95 each
  34. ColorSafe 1.5 Windows                       (   ) $49.95
  35. GIFmation 2.2 Windows                       (   ) $49.00 each
  36.  
  37. Note, a 20% Build Your Own Bundle discount off individual purchase price
  38. applies
  39. for purchases of any two or more individual products, exclusive of other bundle
  40. offers.
  41.  
  42. BoxTop Web Tools Bundle* Windows            (   ) $129.95
  43.  
  44. *Includes PhotoGIF Filter, ImageVice and ColorSafe.
  45.  
  46.  
  47.  
  48. Payment Method: (   ) Check/Cash (   ) Credit Card  (   ) Purchase Order
  49.  
  50.  
  51. Credit Card Type: (   ) VISA  (   ) MASTERCARD
  52.  
  53. Credit Card Number #__________________________________ Exp:______
  54. Name On Card (EXACTLY): _________________________________________
  55. Billing Address for Card: _______________________________________
  56.                           _______________________________________
  57.                           _______________________________________
  58.  
  59.  
  60. Shipping Method:
  61.  
  62. (   ) Email                                   NO CHARGE
  63. (   ) Priority Mail (World-wide)              $6.00
  64. (   ) FedEx 2nd Day (US only)                 $10.00
  65. (   ) FedEx Overnight (US only)               $15.00
  66.  
  67.  
  68. Total  Enclosed: $ _______________
  69.  
  70.  
  71. Signature: ________________________________ Date: ______________
  72.  
  73. ===============================================================================
  74.  
  75. Document Published: 12/31/97
  76.  
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