home *** CD-ROM | disk | FTP | other *** search
/ Collection of Tools & Utilities / Collection of Tools and Utilities.iso / clipper / subntx2.zip / ORDER.FRM < prev    next >
Text File  |  1990-05-24  |  3KB  |  67 lines
  1.                                 SUBNTX ORDER FORM
  2.  
  3.  
  4.      QTY                                               US DOLLARS     PRICE
  5.  
  6.      ___  SubNtx() Version 2.0...........................@ $49 ea   $________
  7.  
  8.      ___  SubNtx() Upgrade to Version 2.0................@ $20 ea   $________
  9.             (from paid user of previous version)
  10.  
  11.           Indicate any Special Handling required:
  12.  
  13.           ___  Send Invoice/Receipt/Password.............@  $5 ea   $________
  14.  
  15.           ___  Send 5 1/4" 360K Disk.....................@ $10 ea   $________
  16.  
  17.           ___  Send 3 1/2" 720K Disk.....................@ $10 ea   $________
  18.  
  19.                                                          Subtotal   $________
  20.  
  21.           A 20% discount is available for Companies, User
  22.           Groups, etc. by ordering five or more copies at
  23.           a time.  Please complete the personal information
  24.           section of an order form for each person.
  25.  
  26.                                               Less Total Discount - $(______)
  27.  
  28.           Tennessee residents please add Sales Tax (7.25%).......   $________
  29.  
  30.  
  31.                                                             TOTAL   $________
  32.  
  33.      ------------------------------------------------------------------------
  34.      Payment by: ( ) Check or M.O. in US DOLLARS   ( ) VISA   ( ) Master Card
  35.  
  36.           Name_______________________________________________________________
  37.  
  38.           Company____________________________________________________________
  39.  
  40.           Address____________________________________________________________
  41.  
  42.                  ____________________________________________________________
  43.  
  44.           Phone(______)________________         Other(______)________________
  45.  
  46.           Personal ID#:  _ _ _  _ _ _  _ _ _ _        Password#:  _ _ _ _ _ _
  47.  
  48.           Please assign yourself a unique personal id NUMBER (like your home
  49.           phone number) and password NUMBER (such as a date) which you can use
  50.           to find out the SubNtx() password using our voice mail system.
  51.  
  52.      VISA or Master Card payment information:
  53.  
  54.           Card #__________________________________ Expiration date___________
  55.  
  56.           Name on Card_______________________________________________________
  57.  
  58.  
  59.      SEND PAYMENT TO:    Moon MicroSystems
  60.                          1920 Gunbarrel Rd
  61.                          Suite 1014
  62.                          Chattanooga, TN 37421
  63.  
  64.      VOICE MAIL PHONE:   615-899-1285
  65.  
  66.  
  67.