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Text File  |  1992-10-31  |  5KB  |  65 lines
  1.                  ORDER FORM FOR TEN-THOUSAND VERSION 1.0            
  2.                                                                       
  3.                                                                       
  4.          Your Name   _________________________________________        
  5.                                                                       
  6.          Address     _________________________________________        
  7.                                                                       
  8.                      _________________________________________        
  9.                                                                       
  10.          City        ___________________ State_____  Zip _____        
  11.                                                                       
  12.          Telephone   (______)   _____ - ________                      
  13.                    In case we have a question about your order.       
  14.                                                                       
  15.                                SECTION ONE                            
  16.  +---------------------------------------------------------------------+
  17.  |           TEN-THOUSAND Registration includes the following:         |
  18.  |                                                                     |
  19.  |  1. An enhanced program version that includes personalized version  |
  20.  |     on a 5 1/4 inch 3 1/2 inch disk.                                |
  21.  |  2. Priority Notice of Program Enhancements.    Please Circle One   |
  22.  |  3. Earn Bonus Points for a FREE Upgrade.           Disk Size:      |
  23.  |  4. Receive 5% off your next software purchase.   5 1/4 or 3 1/2    |
  24.  |  5. Acknowledgement Letter with Serial Number.                      |
  25.  |                                                        +------------|
  26.  |                 Quantity of ______ times $10.00 equals |            |
  27.  +--------------------------------------------------------+------------+
  28.  |  Personalized message: ___________________________ (27 Letters Max) |
  29.  +---------------------------------------------------------------------+
  30.                                5% DISCOUNT                            
  31.  +---------------------------------------------------------------------+
  32.  |  If you have previously registered a Status Que product you are     |
  33.  |  eligible for this discount.                           +------------|
  34.  |                   Multiply SECTION ONE times 5%        |            |
  35.  +--------------------------------------------------------+------------+
  36.                               TOTAL ORDER                             
  37.  +---------------------------------------------------------------------+
  38.  |   Subtract the DISCOUNT from the SECTION ONE and enter that amount  |
  39.  |   here.                                                +------------|
  40.  |                                                        |            |
  41.  +--------------------------------------------------------+------------+
  42.                                                                       
  43.            If paying by credit card complete the following:           
  44.                                                                       
  45.            Card Holder Name....________________________________       
  46.                                                                       
  47.            Type (Circle one)...    VISA    or    MC                   
  48.                                                                       
  49.            Expiration Date.....________________________________       
  50.                                                                       
  51.            Card Number.........________________________________       
  52.                                                                       
  53.            Signature...........________________________________       
  54.                                                                       
  55.            Today's Date........________________________________       
  56.                                                                       
  57.  Remit To: Shareware Distribution Services, PO Box 52, El Paso IL 61738
  58.                                                                       
  59.  Prices are subject to change without notice. DO NOT SENT CASH. Foreign
  60.  orders paid by check must be in US dollars and drawn through a US bank
  61.  or through the US branch of a foreign bank.                          
  62. #EOF#                                                             
  63.                                                                            
  64.  
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