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Text File  |  1994-11-26  |  2.3 KB  |  52 lines
  1.                    -- KrisCards Canadian Order Form --
  2.  
  3.                            DUCKBILL GROUP LLC
  4.                             P.O. BOX 610349
  5.                         BIRMINGHAM, AL. 35261-0349
  6.                                  U.S.A.
  7.  
  8.  
  9.  
  10. First Name:_________________________  Last Name:___________________________
  11.  
  12. Address: __________________________________________________________________
  13.  
  14. City/Town:____________________________ Province:_____________________
  15.  
  16. Postal Code:________________________   Country: CANADA 
  17.   
  18.  
  19. Disk Size:   3.5 inch HD disk(s) _____        5.25 inch HD disk(s) _____                       |            |
  20.  
  21.  
  22.   * PRICES IN CANADIAN DOLLARS *               Price Ea.   Qty      Amount
  23.  +--------------------------------------------+---------+-------+------------+
  24.  | KrisCards + 2 Card Sets                    | $ 53.50 |       |            |
  25.  +--------------------------------------------|---------|-------|------------|
  26.  | KrisCards + 1 Card Set (Indicate below)    | $ 39.95 |       |            |
  27.  +-----------------------+--------------------|---------|-------|------------|
  28.  | Krismas Volume ____   |  1 Card Set ONLY   | $ 26.95 |       |            |
  29.  | YearEnd Volume ____   |  2 or more (EACH)  | $ 19.95 |       |            |
  30.  +-----------------------+--------------------|---------|-------+------------|
  31.  | KrisCards Upgrade from previous version    |         |       |            |
  32.  | Version __________ SN# _______________     | $ 13.50 |       |            |
  33.  +--------------------------------------------+---------+-------|------------|
  34.  |                                         GST Value (SUBTOTAL) |            |
  35.  +--------------------------------------------------------------|------------|
  36.  | Shipping & Handling (Air Mail/Par Avion)           $  6.50   |            |
  37.  +--------------------------------------------------------------|------------|
  38.                                            TOTAL ENCLOSED FUNDS |            |
  39.                                             Canadian Currency   |____________|
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  42.                                                 Thank you for your order.
  43.                                                 
  44.  
  45. Comments/Suggestions:
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  47.     ____________________________________________________________________
  48.  
  49.     ____________________________________________________________________
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