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Text File  |  1998-03-09  |  2.0 KB  |  56 lines
  1. Fax Order Form
  2.  
  3. Attn: Sales Department                          Pages: 1
  4. GreenTree Technologies Inc.
  5. 33 Walt Whitman Road, Suite 236
  6. Huntington Station, NY 11746-3627
  7. Voice: (800) 257-7708
  8. Fax:   (516) 271-8067
  9. Web Site: www.green-tree.com
  10. EMail: sales@green-tree.com
  11.  
  12. Name:______________________________________________________
  13.  
  14. Company Name:______________________________________________
  15.  
  16. Address Line 1:____________________________________________
  17.  
  18. Address Line 2:____________________________________________
  19.  
  20. City:________________________State:________Zip:____________
  21.  
  22. Country:___________________________________________________
  23.  
  24. Telephone:_______________________Email:____________________
  25.  
  26. Credit Card (Circle One):    VISA         M/C          AMEX
  27.  
  28. Credit Card Number:________________________________________
  29.  
  30. Expiration Date:___________________________________________
  31.  
  32.                             Retail     Special     Extended
  33. Product             Qty     Price       Price       Price
  34.  
  35. XGrid 4.0          _____   $179.00     $99.00      ________
  36. DataView           _____   $179.00     $99.00      ________
  37. DataTree           _____   $179.00     $99.00      ________
  38. DataMask           _____   $159.00     $99.00      ________
  39. DataList           _____   $159.00     $99.00      ________
  40. Component Suite
  41. (Above 5 Products) _____   $599.00     $399.00     ________
  42.  
  43. VB Messenger 2.0   _____   $129.00     $99.00      ________
  44.  
  45.      Total Shipping & Handling Charges (see below):________
  46.         Add NYS Sales Tax 8.5% (NY Customers Only):________
  47.  
  48.                                         Total Cost:________
  49. Shipping Charges:
  50. =================
  51. Within Continental US .................................... $10.00
  52. Next Day Air (US Only) ................................... $20.00
  53.      For Puerto Rico, Canada, Hawaii, please add ......... $15.00
  54. International Shipping (Outside US) ...................... $50.00
  55.  
  56. * All prices are subject to change without notice.