home
***
CD-ROM
|
disk
|
FTP
|
other
***
search
/
Business Heaven
/
Business Heaven.iso
/
accnting
/
dynaquot
/
register.doc
< prev
next >
Wrap
Text File
|
1993-07-03
|
2KB
|
53 lines
ORDER FORM
Dyna-Quote Version 3 REGISTRATION FORM
( photocopy if necessary )
Orders only, call: 1-800-755-2616
Your Name _____________________________________________________________
Company _____________________________________________________________
Address _____________________________________________________________
_____________________________________________________________
City _________________________ State ________ Zip _____________
Country _________________________ Telephone _______________________
DISK MEDIA DESIRED: ( ) 5 1/4 disk ( ) 3 1/2 disk
No of copies: __________ @ $19.95 = $ __________
Shipping (per copy)
USA + $5.00, Canada + $10.00, Overseas + $15.00 = $ __________
New York State Residents ONLY
add 8.00% Sales Tax ($2.00 per copy) = $ __________
Total Enclosed = $ __________
Check One:
( )MasterCard ( )Visa ( )Check/Money Order**
** Checks must be in U.S. Dollars from a U.S. account with
an ABA routing number, and payable to DYNAMACS, INC.
I authorize DYNAMACS, INC. to debit my Mastercard/Visa account:
Card Number ____________________________________________________
Print your Name EXACTLY
as it appears on card ____________________________________________________
Expiration Date ____________________________________________________
Signature (required) ____________________________________________________
Thank you for your order.
Mail to: DYNAMACS, INC. Orders only, call: 1-800-755-2616
7954 Transit Road
Suite 323
Williamsville,
New York 14221 U.S.A.