home *** CD-ROM | disk | FTP | other *** search
/ Black Box 4 / BlackBox.cdr / w3_apps / decpro10.arj / ORDER.TXT < prev    next >
Encoding:
Text File  |  1992-05-01  |  709 b   |  25 lines
  1. Decision/pro Order Form:
  2.  
  3. Make check or money order payable to:
  4.  
  5.                 Alan Johnson
  6.                 124 Haywood Drive
  7.                 E. Brookfield, MA 01515
  8.  
  9.  
  10. Name:            ________________________________________
  11. Address:         ________________________________________
  12. Address:         ________________________________________
  13. City, ST, Zip:   ________________________________________
  14.  
  15. Quantity of Decision/pro @ $39.95 (US) each: ____  Dollar Total: __________
  16. If Massachusetts residence, 5% Sales Tax:                        __________
  17. TOTAL AMOUNT ENCLOSED:                                           __________
  18.  
  19.  
  20. I prefer:
  21. ___ 5 1/4" diskette
  22. ___ 3 1/2" diskette
  23.  
  24.  
  25.