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Text File  |  1996-08-01  |  1KB  |  46 lines
  1.  
  2. Rosenthal Virus Simulator Order Form
  3.  
  4. To: 
  5.                                 _____________________________________________
  6. Rosenthal Engineering           name and shipping address
  7. P.O.Box 1650
  8. San Luis Obispo, CA USA
  9.                   93406         _____________________________________________
  10.                                 address
  11.  
  12. ** PLEASE TYPE OR PRINT **
  13.                                 _____________________________________________
  14.  
  15.  
  16.  
  17.                                 _____________________________________________
  18.                                 city, state zipcode (country)
  19.  
  20.  
  21. Software license registration. (single system each serial number)_  $ 25.00
  22. (Includes the current version and all supplements)
  23.  
  24. Upgrading (serial number _______________________) Subtract $5.00
  25.  
  26.                                                   Subtotal     $________.____
  27.  
  28.  
  29. California residents add 7.25% sales tax on subtotal - - - - -   _______.____
  30.  
  31. Shipping and handling per order add $3.50 for USA, 
  32. Canada and Mexico add $4.75. Others add $5.50  - - - - - - - -      ____.____
  33.  
  34.  
  35. Please pay by check or money order in US funds,   -  Total     $________.____
  36. drawn on US banks, Visa or Master Card.
  37.  
  38.  
  39. _________________________ ________________________ _____________
  40. card holder name          Visa/MC number           Expr. date
  41.  
  42. Diskette size (check one) 3 1/2" (   ),   5 1/4" (   )
  43.  
  44. Please! How did you learn of this product?
  45. (ver. 08/01/96)
  46.