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- ORDER FORM FOR TEN-THOUSAND VERSION 1.0
-
-
- Your Name _________________________________________
-
- Address _________________________________________
-
- _________________________________________
-
- City ___________________ State_____ Zip _____
-
- Telephone (______) _____ - ________
- In case we have a question about your order.
-
- SECTION ONE
- +---------------------------------------------------------------------+
- | TEN-THOUSAND Registration includes the following: |
- | |
- | 1. An enhanced program version that includes personalized version |
- | on a 5 1/4 inch 3 1/2 inch disk. |
- | 2. Priority Notice of Program Enhancements. Please Circle One |
- | 3. Earn Bonus Points for a FREE Upgrade. Disk Size: |
- | 4. Receive 5% off your next software purchase. 5 1/4 or 3 1/2 |
- | 5. Acknowledgement Letter with Serial Number. |
- | +------------|
- | Quantity of ______ times $10.00 equals | |
- +--------------------------------------------------------+------------+
- | Personalized message: ___________________________ (27 Letters Max) |
- +---------------------------------------------------------------------+
- 5% DISCOUNT
- +---------------------------------------------------------------------+
- | If you have previously registered a Status Que product you are |
- | eligible for this discount. +------------|
- | Multiply SECTION ONE times 5% | |
- +--------------------------------------------------------+------------+
- TOTAL ORDER
- +---------------------------------------------------------------------+
- | Subtract the DISCOUNT from the SECTION ONE and enter that amount |
- | here. +------------|
- | | |
- +--------------------------------------------------------+------------+
-
- If paying by credit card complete the following:
-
- Card Holder Name....________________________________
-
- Type (Circle one)... VISA or MC
-
- Expiration Date.....________________________________
-
- Card Number.........________________________________
-
- Signature...........________________________________
-
- Today's Date........________________________________
-
- Remit To: Shareware Distribution Services, PO Box 52, El Paso IL 61738
-
- Prices are subject to change without notice. DO NOT SENT CASH. Foreign
- orders paid by check must be in US dollars and drawn through a US bank
- or through the US branch of a foreign bank.
- #EOF#
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