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Text File  |  1998-07-09  |  1KB  |  44 lines

  1.  
  2.                                          BOOMERIA SOFTWORKS
  3.                                                  60 Verde Drive
  4.                                             Santa Cruz, CA 95060
  5.                                                  831 426-2617
  6.  
  7.                               *** ORDER FORM  ***
  8.  
  9. Date_________________
  10.  
  11. Please RUSH me the following:
  12.  
  13.             
  14. ____copies of Mac Seat'em                 @ $15.00ea             $    ______
  15.  
  16. ____copies of Mac Drill                       @ $15.00ea                ______
  17.                                  
  18. ____copies of Chemistry Game           @ $15.00ea             ______
  19.                                                                         
  20.                                     
  21.                                                                                             Shipping/Handling/Tax           $5.00
  22.                                                                                                                                           
  23.                                                                                                                                             Total         $ ______
  24.  
  25. Register to:
  26.  
  27.     Name  ___________________________________
  28.  
  29.     Street __________________________________
  30.  
  31.     City    __________________________________
  32.  
  33.     State  ____   Zip _____________
  34.  
  35.     Phone  ____________________
  36.  
  37.     Enclosed $ ___________
  38.  
  39. Where did you find out about us?____________________________________
  40.  
  41.                                                 
  42.                                            THANK YOU VERY MUCH!
  43.                                                 
  44.