home *** CD-ROM | disk | FTP | other *** search
Text File | 1993-01-18 | 3.8 KB | 122 lines | [TEXT/GEOL] |
- APDA ORDER FORM: APPLELINK
- ``````````````````````````
-
- Please fill in the information required and do one of the following:
- • Link to APDA at APPLINK:APDA
- • Print a copy of this form, fill in completely (please print), and mail with
- payment and any other necessary forms to:
- APDA
- Apple Computer, Inc.
- P.O. Box 319
- Buffalo, NY 14207-0319
- • Fax a copy of the completed form to APDA at (716) 871-6511
-
- -------------------------------------------------------------------------------
- APDA ORDER FORM
-
-
- NAME (first, middle initial, last):
-
-
- DAYTIME TELEPHONE:
-
- FAX:
-
- APDA CUSTOMER NUMBER
- (Can be found on the mailing label. Leave blank if not readily available)
-
- ___ ___ ___ ___ ___ ___ ___ ___
-
-
- BILL TO SHIP TO
- Is this a new address? Is this a new address?
- ___YES ___NO ___YES ___NO
-
- Company Company
-
- Street Street
-
- City City
-
- State/Province/Country State/Province/Country
-
- Zip/Postal Code Zip/Postal Code
-
-
- PAYMENT METHOD (check one)
- __ VISA
- __ MasterCard
- __ American Express
- __ Apple Credit
- __ Check/Money Order to Apple Computer, Inc.
-
- Note: International Customers - your checks must be drawn on a U.S. bank in
- U.S. dollars.
-
- Credit Card Number:
- Expiration Date (month and year):
- Date Ordered:
-
- Signature:____________________________________________________________________
-
- Purchase Order #: *See "Purchase Order Terms & Conditions" file
-
-
- PRODUCT ORDER
-
- Quantity Part Number Description Unit Price Total Price
-
- ________ ___________ _______________________ __________ ___________
-
- ________ ___________ _______________________ __________ ___________
-
- ________ ___________ _______________________ __________ ___________
-
- ________ ___________ _______________________ __________ ___________
-
- ________ ___________ _______________________ __________ ___________
-
- ________ ___________ _______________________ __________ ___________
-
- ________ ___________ _______________________ __________ ___________
-
- ________ ___________ _______________________ __________ ___________
-
- ________ ___________ _______________________ __________ ___________
-
- Merchandise Sub-Total: ___________
- State & Local Sales Tax: ___________
- *Shipping & Handling Charge: ___________
- Additional subscription shipping charge (if applicable): ___________
-
- ORDER TOTAL: ___________
-
- * Read the shipping table in the "How to Order" file and enter that
- data in the Shipping and Handling box. Only one shipping method per order.
-
-
- RESTRICTED PRODUCTS
- A completed and signed APDA Terms & Conditions form must be on file or
- accompany any order which includes restricted products.
- * See "APDA Terms & Conditions" file.
-
- Please indicate the delivery method you have selected:
- __ Surface (US only)
- __ Air
- __ APO/FPO - U.S. Mail
-
-
- In order to make it easier for our developers to market their products, we're
- considering providing the names of our customers to qualified develoeprs. If
- you do NOT want your name included, please check here. _____
-
-
- NOTE: International and Canadian customers: You must complete and include the
- International Letter of Assurance and Product End-use Questionnaire
- found in the "International Forms" file . Please call (716) 871-6555
- for the total cost of your order. Please print your name on your checks.
-
- Developer Services Bulletin Board
- 9-29-92
-
-