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Text File  |  1994-01-10  |  2KB  |  54 lines
  1.                     PROGRESSIVE PRODUCTS
  2.                         P.O. Box 1575
  3.                     Paso Robles, CA 93447
  4.                    FAX/BBS: (805) 239-7672
  5.  
  6.                          ORDER FORM
  7.                          ==========
  8.  
  9. Name________________________________________________________
  10.  
  11. Street Address______________________________________________
  12.  
  13. City _____________________________ State ____ ZIP __________
  14.  
  15. Country (Leave blank for USA) ______________________________
  16.  
  17. Have you registered with us before? [ ] Yes [ ] No
  18.  
  19. What software did this order form come with ________________
  20.  
  21. Where did you obtain this software _________________________
  22.  
  23. Preferred disk size: [ ] 5.25 1.2MB [ ] 3.5 720KB [ ] 3.5 1.4MB
  24.  
  25. Programs you are ordering/registering:
  26.  
  27. [ ] Head Banger #2 Leaping Puzzle Game AND
  28.     Head Banger #1 Sliding Puzzle Game. ___ @  $15.00= _________
  29.  
  30.                        Calif. residnets add sales tax  _________
  31.  
  32.                                    Shipping & Handling     $3.00
  33.                                                        =========
  34.  
  35.                                 TOTAL amount enclosed $_________
  36.  
  37. Payment by:  [ ] Visa  [ ] MasterCard  [ ] Check  [ ] Money Order
  38.  
  39. Card number: ___________________________________________
  40.  
  41. Expiration date: _____/_____ (MM/YY)
  42.  
  43.  
  44. Signature:   ___________________________________________
  45.  
  46. Please make check or money order payable to: Progressive Products
  47.  
  48. Mail to:  Progressive Products
  49.           P.O. Box 1575
  50.           Paso Robles, CA 93447
  51.  
  52. Or FAX credit card orders to: (805) 239-7672
  53. Or register on our BBS by calling: (805) 239-7672  24 hrs. a day!
  54.