home *** CD-ROM | disk | FTP | other *** search
/ Black Box 4 / BlackBox.cdr / dosutils / primer31.arj / ORDERFRM.DOC < prev    next >
Encoding:
Text File  |  1992-03-12  |  1.6 KB  |  55 lines
  1.  
  2. SEND TO:      Soft World's Fair, Inc.
  3.               P.O. Box 305
  4.               Janesville, WI  53547-0305
  5.               (608) 758-0246
  6.  
  7. PC PRIMER Text + Tutorial Disk (ver 4) Order Form:
  8.  
  9.           Date: _________________________
  10.  
  11. SHIP TO:  Name: ___________________________________________
  12.  
  13.   Organization: ___________________________________________
  14.  
  15.        Address: ___________________________________________
  16.  
  17.                 ___________________________________________
  18.  
  19.           City: _____________________________ State:______  Zip:___________
  20.  
  21.          Phone: ______________________________
  22.  
  23. PRICES:
  24.           QUANTITY
  25.              1          $24.95/each        Shipping Included (USA)
  26.             10+         $12.25/each        Shipping Included (USA)
  27.             25+         $11.50/each        Call for Ship Rates
  28.  
  29. ORDER:
  30.  
  31.         Quantity: _________ Unit Price:___________  Total Cost: ____________
  32.  
  33.                                                           *Tax: ____________
  34.  
  35.                                                      Total Due: ____________
  36.  
  37.  (* Wisconsin add 5% tax or indicate Tax Exempt or Reseller Number)
  38.  
  39.  [  ] Payment Enclosed
  40.  
  41.  
  42.  [  ] Bill Me            P.O. Number: ___________________
  43.  
  44.                          Phone to verify: _______________
  45.  
  46.  
  47.  [  ] Mastercard/Visa    Circle: MASTERCARD  VISA
  48.  
  49.                          Number: _______________________________________
  50.  
  51.                 Expiration Date: _______________________________________
  52.  
  53.                       Signature: _______________________________________
  54. ORDERFRM.doc
  55.