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Text File  |  1991-09-20  |  1.5 KB  |  55 lines
  1.                         ORDER FORM for SECOND CONFLICT
  2.  
  3.  
  4.          Please Print:
  5.  
  6.          Date: _________
  7.  
  8.          Name: _________________________________________________
  9.  
  10.          Address: ______________________________________________
  11.  
  12.          _______________________________________________________
  13.  
  14.          _______________________________________________________
  15.  
  16.          Telephone: ____________________________________________
  17.  
  18.  
  19.          Method of Payment:    __Check   __ Cash   __Credit Card
  20.  
  21.  
  22.          For Credit Card Orders:
  23.  
  24.          Card Number: __________________________________________
  25.  
  26.          Expiration Date: ______________________________________
  27.  
  28.          Name on Card (please print): __________________________
  29.  
  30.          Signature: ____________________________________________
  31.  
  32.  
  33.  
  34.          PsL Discount Price: ______________________________$30.00
  35.  
  36.          Shipping:
  37.  
  38.             - U.S./Canda: ____________________________4.00
  39.  
  40.             - Europe: ________________________________6.00
  41.  
  42.             - Asia, Australia, New Zeland areas______11.00
  43.  
  44.  
  45.          Total: __________________________________________$______
  46.  
  47.  
  48.          Mail to:                           Call:
  49.  
  50.          Public (software) Library             Voice: 800-242-4PsL
  51.          P. O. Box 35705                       Voice: 713-524-6394
  52.          Houston, TX 77235-5705                  FAX: 713-524-6398
  53.                                              CompuServe: 71355,470
  54.          
  55.