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Text File  |  2022-08-26  |  2KB  |  49 lines

  1.  
  2.  
  3.                     LOADSTAR MARKETPLACE ORDER FORM
  4.                 OFFER #:MPLS19 -- Offer Expires 6/30/94
  5.                      1 - 8 0 0 - 8 3 1 - 2 6 9 4
  6.  
  7. Yes, please send me Dan Tobias'
  8. WARP+ collection of programs.                   $.......10.00
  9.  
  10.  
  11. Louisiana residents please add 4% sales tax.   $.(.40).......
  12.  
  13.  
  14.                              TOTAL DUE=====> $................
  15.  
  16. CUSTOMER NO....................  (Look just above your name on
  17. the address card of your subscription pack.)
  18.  
  19. Name .........................................................
  20.  
  21. Address ......................................................
  22.  
  23. City  ..................... State  ......... Zip .............
  24.  
  25. Country ................ Mail Code ...........................
  26.  
  27. Phone (.............).........................................
  28.  
  29. PAYMENT METHOD
  30.  
  31. ...... Payment enclosed. (Make check or money order payable to
  32. Softdisk Publishing.  If outside the U.S., print "IN U.S. FUNDS"
  33. on your check.)
  34.  
  35. ......... Visa/MC  ......... Discover  ......... Am Express
  36.  
  37. Account # .......................... Exp. Date ..................
  38.  
  39. Signature .......................................................
  40.  
  41. (Allow 7-10 days for delivery.  International allow 4 to 6 weeks.)
  42.  
  43.                                   Mail to:
  44.                             SOFTDISK PUBLISHING
  45.                   PO BOX 30008, SHREVEPORT, LA 71130-0008
  46.                        1-800-831-2694 or 318-221-8718
  47.                                                                        
  48.                                                                        
  49.