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Text File  |  1991-06-05  |  3KB  |  61 lines
  1.                     ┌──────────────────────────────┐
  2.                     │ BSX International Order Form │
  3.                     └──────────────────────────────┘
  4. I wish to register,  purchase or upgrade the following from BSX:
  5.  
  6.                                                 Register,    Disk size
  7.       Be sure to read BSXCAT.DOC for full       Purchase,    for Purs.
  8.              pricing information.              or Upgrade?      or
  9.                                                Circle one:   Upgrades:
  10.  
  11. __ copies of _________,  @ $_____ each: $_____  R / P / U   5.25 / 3.5
  12.  
  13. __ copies of _________,  @ $_____ each: $_____  R / P / U   5.25 / 3.5
  14.  
  15. __ copies of _________,  @ $_____ each: $_____  R / P / U   5.25 / 3.5
  16.  
  17. __ copies of _________,  @ $_____ each: $_____  R / P / U   5.25 / 3.5
  18.  
  19. __ copies of _________,  @ $_____ each: $_____  R / P / U   5.25 / 3.5
  20.  
  21. __ copies of _________,  @ $_____ each: $_____  R / P / U   5.25 / 3.5
  22.  
  23. Non-US, non-Can. SH charges ($3.00 US): $_____  (Pur. & Upgrades only
  24.                                                  and only for Purs.
  25.                                                  and Upgrades to sites
  26.                                                  outside the US and
  27.                                                  Canada)
  28.                         For a total of: $_____
  29.  
  30.   I've enclosed a check or money order payable to DAVID JOHNDROW.
  31.  
  32.   Please ship purchased products to:          (PLEASE PRINT)
  33.  
  34.   Name:_____________________________________________________
  35.  
  36.   Street Address:___________________________________________
  37.  
  38.   City, State/Province:_____________________________________
  39.  
  40.   Zip Code:_____________     Country:_______________________
  41.  
  42.   Phone (Optional):_________________________
  43.  
  44.   MAKE CHECKS PAYABLE TO  DAVID JOHNDROW!  DAVID JOHNDROW!
  45.   I understand that registered  products  are  not  to  be  delivered,
  46.   while purchased and updated products are.
  47.  - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
  48.          Send this form along with cash, check or money order
  49.                     PAYABLE TO DAVID JOHNDROW
  50.                                to:
  51.                    ┌──────────────────────────┐
  52.                    │BSX International         │
  53.                    │806 Park Ridge Rd. Apt. A8│
  54.                    │Durham, NC 27713          │
  55.                    └──────────────────────────┘
  56.      *** PLEASE MAKE THE CHECK PAYABLE TO: DAVID JOHNDROW ***
  57.      *** DO NOT MAKE IT PAYABLE  TO  BSX INTERNATIONAL!!! ***
  58.      ***   DON'T  ***   EVEN   ***    THINK    ***   IT   ***
  59.      Please allow 1-2 weeks for delivery of purchases. Thanks!
  60. This form is optional. If you just send money, that's cool. Real cool.
  61.