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Text File  |  1991-08-14  |  2KB  |  59 lines
  1.                   POPDBF ORDER FORM
  2.                     
  3.       Bowen Software
  4.       P.O. Box 2134              (309) 699-0950
  5.       East Peoria, IL  61611
  6.       ===============================================================
  7.                                                    PRICE       PRICE
  8.           PRODUCT                         QTY      EACH       EXTENDED
  9.       -----------------------------   ---       -----      --------
  10.       PopDBF 4.0
  11.         Quantity   1 to  4          ___       $35.00     $_______
  12.         Quantity   5 to  9          ___       $28.00     $_______
  13.         Quantity  10 to 49          ___       $26.25     $_______
  14.         Quantity  50 to 99          ___       $24.50     $_______
  15.         Quantity 100+          ___       $22.75     $_______
  16.  
  17.       Printed Manual          ___       $10.00     $_______
  18.       PopDBF Evaluation disk      ___        $5.00     $_______
  19.       PopAID 1.2              ___       $15.00     $_______
  20.  
  21.       Shipping & Handling                $5.00     $5.00
  22.       Purchase Order handling (whenever        $5.00     $_______
  23.           invoice required)
  24.           
  25.       Foreign orders, except Canada, add(*)     $5.00     $_______
  26.           
  27.                                                   SUBTOTAL    $_______
  28.                     
  29.       Illinois sales tax (6.25%)                  $_______
  30.       (for orders shipped to Illinois addresses only)
  31.           
  32.                                                    TOTAL      $_______
  33.           
  34.       Name: ________________________________ Phone:________________
  35.           
  36.           Address:_____________________________________________________
  37.           
  38.           Address: ____________________________________________________ 
  39.           
  40.       City: _______________________________________________________
  41.  
  42.       State/Province, Zip: ________________________________________
  43.  
  44.       Country (if not USA): _______________________________________
  45.           
  46.       Where did you learn about PopDBF?____________________________
  47.           _____________________________________________________________
  48.           
  49.       Disk Size?  3.5" [ ]     5.25" [ ]
  50.  
  51.           I understand that if I am not completely satisfied, I may return
  52.       PopDBF within 60 days for a refund of the purchase price.
  53.           
  54.           Prices subject to change without notice.
  55.           
  56.       * Foreign orders paid by check MUST be in US $ and drawn through a
  57.         US bank or through the US branch of a foreign bank.
  58.           
  59.