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Text File  |  1992-04-05  |  5KB  |  61 lines
  1. +----------------------------------------------------------------------------+
  2. |               Trade Wars 2002 Database Doctor Order Form                   |
  3. | T                                                                          |
  4. | W                                                                          |
  5. | D      Complete the blanks and mail to the author's address below.         |
  6. | O                                                                          |
  7. | C                                                                          |
  8. | T      Real Name ___________________________________________________       |
  9. | O                                                                          |
  10. | R                                                                          |
  11. |        Street Address ______________________________________________       |
  12. | T                                                                          |
  13. | W                                                                          |
  14. | D      City, State & ZIP ___________________________________________       |
  15. | O                                                                          |
  16. | C                                                                          |
  17. | T      Voice or Home Phone (_____)__________________                       |
  18. | O                                                                          |
  19. | R                                                                          |
  20. |        BBS or Data Phone   (_____)__________________                       |
  21. | T                                                                          |
  22. | W                                                                          |
  23. | D      BBS Name ____________________________________________________       |
  24. | O                                                                          |
  25. | C                                                                          |
  26. | T      BBS Type and version number _________________________________       |
  27. | O                                                                          |
  28. | R                                                                          |
  29. |        Your Handle _________________________________________________       |
  30. | T                                                                          |
  31. | W                                                                          |
  32. | D    Registration for TWDoctor  Inside the U.S.A.          $10.00          |
  33. | O                               Kansas residents add          .45 SalesTax |
  34. | C                               Outside the U.S.A.         $13.00 U.S.$    |
  35. | T                   All funds must be drawn on U.S. Banks.                 |
  36. | O                                                                          |
  37. | R      Print and mail this form with check or money order only to:         |
  38. |                                                                            |
  39. |        Martech Software, Inc.                                              |
  40. |        134 Indian Avenue                                                   |
  41. |        Lawrence, Kansas  66046                                             |
  42. |                                                                            |
  43. | The TWDoctor is a complete, shareware product, we do not send anything     |
  44. | else out as a registration incentive, you have the whole thing now.        |
  45. |                                                                            |
  46. |        ** VISA and MasterCard Accepted!**  Send this form with the         |
  47. |        information below to the address  shown above or send it to         |
  48. |        our FAX number at (913)842-7818                                     |
  49. |                                                                            |
  50. |                                                                            |
  51. |        Card Number _________________________________________________       |
  52. |                                                                            |
  53. |        VISA ____  MasterCard ____ Expiration Date __________________       |
  54. |                                                                            |
  55. |        Name (as it appears on the card)_____________________________       |
  56. |                                                                            |
  57. |        Signature ___________________________________________________       |
  58. |TWDoctor 0.98                                                                        |
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