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Text File  |  1985-11-20  |  2KB  |  59 lines
  1.     
  2.                             JUST ASK PURCHASING
  3.                             1001 S. 10th Drive
  4.                             Show Low, AZ 85901
  5.                             602-537-5542
  6.                               
  7. *****************************************************************
  8.                       PLEASE PROVIDE ALL INFORMATION
  9. *****************************************************************
  10.  
  11. TYPE OF COMPUTER: 520ST    1040ST   SINGLE SIDED  DOUBLE SIDED
  12.                   
  13.                   EXPANDED MEMORY   HOW MUCH?
  14.  
  15.  
  16. NAME:____________________________________________________________
  17.  
  18. ADDRESS:_________________________________________________________
  19.  
  20. CITY:_____________________________STATE:____________ZIP:_________
  21.  
  22. PHONE: (     )_________________________________________
  23.  
  24. METHOD OF PAYMENT:
  25.  
  26.  CHECK ( )  MONEY ORDER ( ) VISA ( )  MASTERCARD ( )
  27.  
  28.  CHARGE CARDS $20.00 MINIMUM
  29.  
  30. ACCOUNT NUMBER_________________________________________________
  31.  
  32. EXPIRATION DATE________________________________________________
  33.  
  34. SIGNATURE______________________________________________________
  35.  
  36.                  ( CHECKS SUBJECT TO BANK CLEARANCE )
  37.  
  38.  
  39.   
  40. QUANTITY ORDERED*****DISK # ******DESCRIPTION****UNIT PRICE**TOTAL
  41.  
  42. __________________________________________________________________
  43.  
  44. _________________________________________________________________
  45.  
  46. __________________________________________________________________
  47.  
  48. __________________________________________________________________
  49.  
  50. ___________________________________________________________________
  51.  
  52.                                                   SUB TOTAL_______
  53.                                ARIZONA RESIDENTS ADD 7% TAX_______
  54.                                SHIPPING AND HANDLING CHARGE_______
  55.                                                       TOTAL_______
  56.  
  57.               SHIPPING CHARGES: 5 DISKS OR OVER NO SHIPPING
  58.                               UNDER 5 DISKS $1.25 PER ORDER
  59.