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Text File  |  1994-11-26  |  2.7 KB  |  56 lines
  1.                         -- KrisCards Order Form --
  2.  
  3.                            DUCKBILL GROUP LLC
  4.                             P.O. BOX 610349
  5.                         BIRMINGHAM, AL. 35261-0349
  6.  
  7.  
  8.  
  9. First Name:_________________________  Last Name:___________________________
  10.  
  11. Address: __________________________________________________________________
  12.  
  13. City/Town:____________________________ State/Province:_____________________
  14.  
  15. Zip+4/Postal Code:________________________   Country:______________________
  16.   
  17.  
  18. Disk Size:   3.5 inch HD disk(s) _____        5.25 inch HD disk(s) _____                       |            |
  19.  
  20.  
  21.   * PRICES IN U.S. DOLLARS *                     Price Ea.  Qty    Amount
  22.  +----------------------------------------------+---------+-----+------------+
  23.  | KrisCards + 2 Card Sets                      | $ 39.95 |     |            |
  24.  +----------------------------------------------|---------|-----|------------|
  25.  | KrisCards + 1 Card Set (Indicate below)      | $ 29.95 |     |            |
  26.  +--------------------------+-------------------|---------|-----|------------|
  27.  | Krismas Card Set ___     |  Card Set ONLY    | $ 19.95 |     |            |
  28.  | YearEnd Card Set ___     |  2 + Sets ONLY    | $ 14.95 |     |            |
  29.  +--------------------------+-------------------|---------|-----|------------|
  30.  | KrisCards Upgrade from previous version      |         |     |            |
  31.  | Version _______ SN# __________________       | $  9.95 |     |            |
  32.  +----------------------------------------------+---------+-----|------------|
  33.  |                     (Amount subject to import tax)  SUBTOTAL |            |
  34.  +--------------------------------------------------------------|------------|
  35.  |                     (Alabama residents only)    8% SALES TAX |            |
  36.  +--------------------------------------------------------------|------------|
  37.  | U.S. Priority -or- Canadian Air Mail               $  5.00   |            |
  38.  | International     (Outside U.S. and Canada)        $ 10.00   |            |
  39.  +--------------------------------------------------------------|------------|
  40.  | Additional charge for US overnight service         $ 10.00   |            |
  41.  +--------------------------------------------------------------|------------|
  42.    (For Canadian Currency -)               TOTAL ENCLOSED FUNDS |            |
  43.    (Please use CANORDER.FRM)                 U.S Currency Only  |____________|
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  47.                                                 Thank you for your order.
  48.  
  49. Comments/Suggestions:
  50.  
  51.     ____________________________________________________________________
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  53.     ____________________________________________________________________
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