home *** CD-ROM | disk | FTP | other *** search
/ A Beginner's Guide to the Internet / INTERNET.ISO / text / www / champkr / order.txt < prev    next >
Encoding:
Text File  |  1995-10-07  |  1.2 KB  |  45 lines
  1. The "List of Lists" Champion's Order Form
  2.  
  3. Name: ______________________________________________
  4.  
  5. Company: ___________________________________________
  6.  
  7. Address: ____________________________________________
  8.  
  9. City: _______________________________________________
  10.  
  11. State: ______    ZIP: __________-________
  12.  
  13. Day Phone: (___) - ____ - ______ 
  14.  
  15. Evening Phone: (___) - ____ - ______ 
  16.  
  17. Email Address: _______________________________________
  18.  
  19. Purchasing the "List of Lists" Champion will constitute 
  20. acceptance of the End-User License Agreement.
  21.  
  22. ________ Copies @ $29.00 each                     $________
  23. New Jersey residents add 6% sales tax             $________
  24. Shipping overseas: Add $5.00                      $________
  25. 5,000 Hyperlinked UseNet Newsgroups               No Charge
  26. Total                                             $________
  27.  
  28. How did you hear about the "List of Lists" Champion?
  29.  
  30. ____________________________________________
  31.  
  32. Please make payment (USA dollars drawn from a USA bank, 
  33. or postal money orders in USA dollars) payable to:
  34.  
  35.       Ken Ramsthaler
  36.  
  37. Mail this form and your payment to:
  38.  
  39.       Ken Ramsthaler
  40.       1520 Little Hill Road
  41.       Point Pleasant, NJ 08742
  42.       USA
  43.  
  44. Please allow 2-3 weeks for delivery.
  45.