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/ Software of the Month Club 1995 March / SOFM_Mar1995.bin / pc / sri / windows / recall / ordrform.tx$ / ordrform.txt
Text File  |  1995-01-27  |  2KB  |  56 lines
  1.                   -I N V O I C E-
  2.  
  3.     To place your order for InfoRecall v3.2b for Windows
  4.         CALL, FAX or MAIL to:
  5.        
  6.         Curtram Consulting Inc.
  7.         200 Yorkland Blvd.
  8.         Suite 801
  9.         Toronto, ON M2J 5C1 CANADA
  10.         
  11.         PHONE: (416) 502-1311 - FAX: (416) 502-1345
  12.         
  13. NAME/CONTACT____________________________________________________
  14.  
  15. COMPANY_________________________________________________________
  16.  
  17. STREET__________________________________________________________
  18.  
  19. CITY_____________________________________ STATE\Prov____________
  20.  
  21. COUNTRY_________________________ ZIP\Code________________________
  22.  
  23. TELEPHONE _________________________ FAX  ________________________
  24.  
  25. I use 5 1/4" _____ 3 1/2 _____ disks
  26. -----------------------------------------------------------------
  27. InfoRecall          $49.95 US        x ____ = $_______
  28. Shipping & Handling     5.00 US            x ____ = $_______
  29. Overseas Shipping & Handling          10.00 US  x ____ = $_______
  30. -----------------------------------------------------------------
  31.                                                  Total:  $_______
  32.  
  33. Please call for NETWORK VERSIONS, Site licenses, Volume discounts.
  34.  
  35. PLEASE NOTE:  We accept VISA, MasterCard, Card American Express,
  36.               Money Orders, US and Canadian Checks. PO's.
  37.  
  38. Overseas orders please use INTERNATIONAL MONEY ORDER not a check.
  39.  
  40. Name of Credit Card_____________________________
  41.  
  42. CARD #:* __________________________________    Exp. Date: ______
  43. (*US$ will be converted and charged in Canadian dollars) 
  44.  
  45. Name On Card (exactly): ________________________________________
  46.  
  47. Signature: ______________________________________________________
  48.  
  49. What Additional features would you like to see? 
  50. What's your main usage?
  51. _________________________________________________________________
  52.  
  53. _________________________________________________________________
  54.  
  55. _________________________________________________________________
  56.