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Text File  |  1996-09-15  |  3KB  |  102 lines
  1.                                 ORDER FORM
  2.                                 VBSYX 1.4i
  3.                           FOR UNITED STATES ORDERS
  4.                           ========================
  5.  
  6.  
  7.     Name:                             _________________________________
  8.  
  9.     Company/Address:                  _________________________________
  10.  
  11.                                       _________________________________
  12.  
  13.                                       _________________________________
  14.  
  15.     Your Telephone Number:            _________________________________
  16.                                          (include area/country code)
  17.  
  18.  
  19.     Your E-Mail Address:    ___________________________________________
  20.                                   (Must be reachable via Internet)
  21.  
  22.                              Registration Name
  23.       (Capitalization and Punctuation will be used exactly as listed)
  24.       ---------------------------------------------------------------
  25.  
  26.  
  27.     Your Name (required):             _________________________________
  28.  
  29.  
  30.     Price Calculation
  31.     -----------------
  32.  
  33.     Registration Fee: $24.95 per copy
  34.  
  35.     (SCUG Members:  send e-mail to mlevoi@modemss.brisnet.org.au
  36.                     for details on a special limited-time discount offer!)
  37.  
  38.  
  39.     Registration Fee: _____ copies @ $24.95 each = ___________
  40.  
  41.     Texas residents add Sales Tax:                 ___________
  42.     (8.25% Dallas MTA, 7.25% other)
  43.  
  44.     Total Cost:                                    ___________
  45.  
  46.  
  47.     Checks or Money orders:  Make payable in U.S. currency on a U.S. bank.
  48.                              DO NOT SEND CASH!!!!!
  49.  
  50.     Send this entire form with your check or money order (again, no cash)
  51.     payable to Lee Jackson to the following address:
  52.  
  53.                           Lee Jackson
  54.                           3960 Broadway Suite 235
  55.                           Garland TX 75043
  56.  
  57.     Please allow 6-8 weeks for delivery of mailed registration keys, and
  58.     5-10 days for delivery of keys via e-mail.
  59.  
  60.  
  61.     How did you receive your copy of VBSYX?
  62.  
  63.     [ ] CompuServe
  64.  
  65.     [ ] America Online
  66.  
  67.     [ ] Prodigy
  68.  
  69.     [ ] FidoNet (please list node)  ______________________________________
  70.  
  71.     [ ] World Wide Web site or FTP site  _________________________________
  72.  
  73.     [ ] Other BBS  _______________________________________________________
  74.  
  75.     [ ] Catalog __________________________________________________________
  76.  
  77.     [ ] Other ____________________________________________________________
  78.  
  79.  
  80.  
  81.     Do you have any comments or suggestions?
  82.  
  83.  
  84.     ______________________________________________________________________
  85.  
  86.     ______________________________________________________________________
  87.  
  88.     ______________________________________________________________________
  89.  
  90.     ______________________________________________________________________
  91.  
  92.     ______________________________________________________________________
  93.  
  94.     ______________________________________________________________________
  95.  
  96.     ______________________________________________________________________
  97.  
  98.  
  99.     Thank you for ordering VBSYX!
  100.  
  101.  
  102.