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  1.  
  2.  
  3.  
  4.                                  INVOICE
  5.  
  6.  
  7.             REMIT TO:                  From: ___________________________
  8.  
  9.             RetailWare                       ___________________________
  10.             2107 West Britton Road
  11.             Oklahoma City, OK  73120-1577    ___________________________
  12.             (405) 749-1763 Voice
  13.             (405) 751-5629 Fax               ___________________________
  14.  
  15.  
  16.  
  17.                            Contact Individual:__________________________
  18.  
  19.  
  20.  
  21.              Qty                               Unit Price         Total
  22.                    Registration Fee:
  23.              ___  "The Retailer"                   $49          _______
  24.  
  25.  
  26.              ___  Upgrades (For Registered users)  $18          _______
  27.  
  28.  
  29.                                                     Total       _______
  30.  
  31.  
  32.              Enclose Check, Money Order or provide credit card
  33.              information below.
  34.  
  35.  
  36.              __________________________________  _________   Visa or Mastercard
  37.              Credit Card Number                   Expires
  38.  
  39.              _________________________________________
  40.              Cardholder's Name (As it appears on card)
  41.  
  42.  
  43.              _________________________________________
  44.              Cardholder's Signature
  45.  
  46.                                Disk size:
  47.                                [ ]  5 1/4"
  48.                                [ ]  3 1/2"
  49.  
  50.             Upon receipt of payment, a printed manual and current
  51.             program disk will be sent.
  52.  
  53.             Site licenses are available for using "The Retailer"
  54.             on multiple machines within your organization. Call
  55.             or write for details.
  56.  
  57.  
  58.