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ORDERFRM.TXT
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1996-06-19
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1KB
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49 lines
VOCABULARY BUILDER ORDER FORM
-------------------------------------------------------------------------
Your Name: _____________________________
Mailing Address: _____________________________
_____________________________
City, State, Zip: _____________________________
Daytime Phone: ___________________ Evening Phone: ___________________
-------------------------------------------------------------------------
1) Media Type (circle one): 3-1/2" Floppy 5-1/4" Floppy
2) Base Edition - Includes English Dictionary
Number of Copies: ________ @ $15.00 ea. = _________
3) Additional Dictionaries (circle all that apply)
Number of Dictionaries: ________ @ $5.00 ea. = _________
(none available at time of this release)
4) Sales Tax (CA Residents Only): @ 7.75% = _________
5) Shipping And Handling Charges: = $3.00
6) Grand Total: = _________
-------------------------------------------------------------------------
--prices subject to change without notice--all sales final---------------
-------------------------------------------------------------------------
Make Checks Payable To:
Sulcus Software
Vocabulary Builder
P.O. Box 17116
Anaheim Hills, CA 92817-7116