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ORDER.FRM
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1990-05-24
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3KB
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67 lines
SUBNTX ORDER FORM
QTY US DOLLARS PRICE
___ SubNtx() Version 2.0...........................@ $49 ea $________
___ SubNtx() Upgrade to Version 2.0................@ $20 ea $________
(from paid user of previous version)
Indicate any Special Handling required:
___ Send Invoice/Receipt/Password.............@ $5 ea $________
___ Send 5 1/4" 360K Disk.....................@ $10 ea $________
___ Send 3 1/2" 720K Disk.....................@ $10 ea $________
Subtotal $________
A 20% discount is available for Companies, User
Groups, etc. by ordering five or more copies at
a time. Please complete the personal information
section of an order form for each person.
Less Total Discount - $(______)
Tennessee residents please add Sales Tax (7.25%)....... $________
TOTAL $________
------------------------------------------------------------------------
Payment by: ( ) Check or M.O. in US DOLLARS ( ) VISA ( ) Master Card
Name_______________________________________________________________
Company____________________________________________________________
Address____________________________________________________________
____________________________________________________________
Phone(______)________________ Other(______)________________
Personal ID#: _ _ _ _ _ _ _ _ _ _ Password#: _ _ _ _ _ _
Please assign yourself a unique personal id NUMBER (like your home
phone number) and password NUMBER (such as a date) which you can use
to find out the SubNtx() password using our voice mail system.
VISA or Master Card payment information:
Card #__________________________________ Expiration date___________
Name on Card_______________________________________________________
SEND PAYMENT TO: Moon MicroSystems
1920 Gunbarrel Rd
Suite 1014
Chattanooga, TN 37421
VOICE MAIL PHONE: 615-899-1285