home *** CD-ROM | disk | FTP | other *** search
/ Magnum One / Magnum One (Mid-American Digital) (Disc Manufacturing).iso / d6 / cmgl1.arc / ORDER.DOC < prev    next >
Text File  |  1988-12-06  |  2KB  |  53 lines
  1.  
  2.  
  3.           CheckMate Series Order Form
  4.  
  5.           To:  Custom Technologies
  6.                PO Box 10096
  7.                Panama City,  FL  32404
  8.  
  9.  
  10.           Name: _________________________________________________
  11.  
  12.           Address:  _____________________________________________
  13.  
  14.                     _____________________________________________
  15.  
  16.                     _____________________________________________
  17.  
  18.  
  19.           Today's Date:  ________________________________________
  20.  
  21.  
  22.           Where do you hear about (and/or receive a copy of)
  23.           CheckMate or CheckMate-GL?
  24.  
  25.                [ ] BBS    Name_________________  Ph______________
  26.                [ ] SIG    Name___________________________________
  27.                [ ] CompuServe
  28.                [ ] Friend
  29.                [ ] Other ________________________________________
  30.  
  31.  
  32.           Indicate the Product and Quantity to Order:
  33.  
  34.           Product                                Qty       Price
  35.           -------                                ---       -----
  36.           CheckMate @ $29.95 EA                  ___    ________
  37.  
  38.           CheckMate-GL @ $39.95 EA               ___    ________
  39.  
  40.           CheckMate/CheckMate-GL Bundle Pack
  41.             @ $59.95 (save $10!)                 ___    ________
  42.  
  43.           Shipping & Handling ($3 each pc)       ___    ________
  44.  
  45.           Tax (Florida Residents add 5%)                ________
  46.  
  47.  
  48.           TOTAL.....................................    ________
  49.  
  50.  
  51.           Make Checks Payable to Custom Technologies
  52.  
  53.