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Text File  |  1993-04-12  |  3KB  |  63 lines
  1.                   ERIC SCHWARTZ ANIMATION DISK ORDER FORM       (rev. MAY-92)
  2.  
  3. Name _______________________________           Date _____________
  4.  
  5. Address _______________________________
  6.  
  7.         _______________________________
  8.  
  9.  __ I would like information about retail sales of anim disks
  10.  
  11.     My business's name is __________________________________
  12.  
  13.  __ I would like a free AFIT AUG newsletter (AFIT Gazette).
  14.  
  15.     __  I would like the entire collection for $1.75 per disk.
  16.  
  17.     I would like these disks at $3.00 per disk:___________________________
  18.              (the first 5 disks)
  19.                                                ___________________________
  20.  
  21.     I would like these additional disks at $2.00:_________________________
  22.  
  23.                                                  _________________________
  24.  
  25.     For subscription orders, specify the first disk in each category
  26.  
  27.     that you wish to receive:  AT___  ES___  AN___  PX___
  28.  
  29.                ************************************************
  30.               *               U.S. CURRENCY ONLY               *
  31.               *                                                *
  32.               * ___ disks X $3.00 = $____ (first 5)            *
  33.               *                                              S *
  34.               * ___ disks X $2.00 = $____ (over 5)           H *
  35.               *                                              I *
  36.               * ___ disks X $1.75 = $____ (entire set)       P *
  37.               *                                              P *
  38.               * ___ total disks X $0.25 = $____ (Canada)   <-I *
  39.               *                                              N *
  40.               * ___ total disks X $0.50 = $____ (overseas) <-G *
  41.               *                                                *
  42.               *             TOTAL = $______ (amount enclosed)  *
  43.               *                                                *
  44.                ************************************************
  45.  
  46. OPTIONAL:
  47.  
  48.    Your phone _________________
  49.  
  50.    Your Internet name and address (for notification of receipt of order)
  51.  
  52.       _______________________________
  53.  
  54.    Name of user groups that you are a member of __________________________
  55.  
  56.       ____________________________________________________________________
  57.  
  58.    Their BBS numbers (if any) ____________________________________________
  59.  
  60.    Comments/suggestions __________________________________________________
  61.  
  62.  CHECKS SHOULD BE MADE PAYABLE TO "THE ES ANIMATION COLLECTION"
  63.