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Text File  |  1993-02-13  |  4KB  |  59 lines

  1.  
  2.      GRABBER(tm)  Order Form      PLEASE SEE PAGES 2 & 3 OF THE GRABBER.DOC
  3.                                   FILE FOR ADDITIONAL IMPORTANT INFORMATION
  4.  
  5.      +--------------------------------------------------------------------+
  6.      |                                                                    |
  7.      |  I wish to license _____ copy/copies of the latest release of the  |
  8.      |  GRABBER programs. I have enclosed $59.00 and/or $29.00 for each   |
  9.      |  single-user license, as indicated.  (Prices subject to change.)   |
  10.      |                                                                    |
  11.      |   Number of copies:  _____ $59.00 version;  _____ $29.00 version   |
  12.      |                                                                    |
  13.      |  Name ___________________________________________________________  |
  14.      |                                                                    |
  15.      |  Company (if applicable) ________________________________________  |
  16.      |                                                                    |
  17.      |  Address ________________________________________________________  |
  18.      |                                                                    |
  19.      |  City _______________________________  State ______  Zip ________  |
  20.      |                                                                    |
  21.      |  Country & postal code (outside the U.S.) _______________________  |
  22.      |                                                                    |
  23.      |  Telephone  (_____)__________________   ____ day;  ____ evening    |
  24.      |                                                                    |
  25.      |  I prefer:  _____ 3.5" disk;  _____ 5.25" disk                     |
  26.      |                                                                    |
  27.      |                     FOR CREDIT CARD ORDERS ONLY:                   |
  28.      |                                                                    |
  29.      |  Circle one:   Visa    MasterCard    American Express    Discover  |
  30.      |                                                                    |
  31.      |  Card Number ________________________________ Expiration: _______  |
  32.      |                                                                    |
  33.      |  Cardholder Name (please print) _________________________________  |
  34.      |                                                                    |
  35.      |  Cardholder Signature _____________________________________  3.96  |
  36.      +--------------------------------------------------------------------+
  37.  
  38.       TO ORDER BY CHECK:   Mail this order form, together with your
  39.       check or money order, to:
  40.  
  41.                                Gerald A. Monroe
  42.                                P.O. Box 770906
  43.                                Lakewood, Ohio 44107
  44.                                U.S.A.
  45.  
  46.            Canadian and overseas users:  Please use a check which
  47.           states on its face that it is payable at a bank in the U.S.
  48.  
  49.  
  50.       TO ORDER BY CREDIT CARD:   Call the Public Software Library at
  51.       800-242-4775 (toll-free within the U.S.), or at 713-524-6394. 
  52.       There is a $4 handling charge when you order through PSL.  You
  53.       can also "fax" your completed order form to PSL at 713-524-6398. 
  54.       Or, mail your order form to:
  55.  
  56.                                Public Software Library
  57.                                P.O. Box 35705
  58.                                Houston, Texas 77235-5705
  59.                                U.S.A.