home *** CD-ROM | disk | FTP | other *** search
/ Software of the Month Club 1996 December / Software of the Month Club 1996 December.iso / pc / dos / sri / child / ldshare / order.frm < prev    next >
Encoding:
Text File  |  1995-10-06  |  2.6 KB  |  61 lines
  1.   --------------------------------------------------------------------------
  2.                    ORDER FORM
  3.   --------------------------------------------------------------------------
  4.    Qty   Description                    Price   Total
  5.   +----+-------------------------------+-------+-----+  SHIPPING & HANDLING
  6.   |    |  Logical Deduction            | $15.00|     |  The shipping charge
  7.   +----+-------------------------------+-------+-----+  is $3 world-wide.
  8.   |    |  Tangram                      | $12.00|     |       
  9.   +----+-------------------------------+-------+-----+  NOTE: Orders from 
  10.   |    |  Minefield For Everybody      |  $5.00|     |  within ISRAEL that
  11.   +----+-------------------------------+-------+-----+  are paid in Sheqels
  12.   |    |                               |       |     |  must add 17% V.A.T.
  13.   +----+-------------------------------+-------+-----+
  14.              SHIPPING/HANDLING    $3   |  3  |
  15.                            +-----+
  16.                   TOTAL        |     |
  17.                            +-----+
  18.   When paying in non-US currency, please show currency and exchange rate
  19.  
  20.   Currency_________________ Exchange Rate ______ to  $1 US 
  21.  
  22.   Make checks payable to: Judah Warshaw         
  23.   In ISRAEL make checks payable to THE SOFTWARE HOUSE
  24.  
  25.   Disk Size:  ___ 3.5"  ___ 5.25"  (Will use 3.5" if not indicated)
  26.   
  27.   Payment:  _____ Check ____ Money Order   ______ MasterCard ____ Isracard
  28.   
  29.   Card Number:  _______ _______ _______ _______  Expiration Date:  ________
  30.        (NOTE: Minimum Credit Card Order $15.00)
  31.   
  32.   Signature:  _________________________ (credit card orders must be signed)
  33.   
  34.   Name:  __________________________________________________________________
  35.   
  36.   Address:  _______________________________________________________________
  37.   
  38.   City/State/Zip:  ________________________________________________________
  39.  
  40.   Country _________________________________________________________________
  41.   
  42.       Send to:   Judah Warshaw
  43.          P.O. Box 27054
  44.          Jerusalem   91270
  45.          ISRAEL
  46.  
  47.   Where did you get your shareware copy of Logical Deduction?
  48.   
  49.   Catalog Vendor _____________________________________________________
  50.   
  51.   BBS / Online Service _______________________________________________
  52.   
  53.   CD-ROM _____________________________________________________________
  54.   
  55.   Friend _____________________________________________________________
  56.   
  57.   Other ______________________________________________________________
  58.   
  59.   Please use back of order form for any comments, opinions, or suggestions.
  60.   -------------------------------------------------------------CIS---------
  61.