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Text File  |  1991-11-14  |  2KB  |  53 lines
  1.                                 ORDER FORM
  2.                                                 Date: ___/___/19___
  3.         Ship to:
  4.           Name:    ______________________________________________________
  5.           Company: ______________________________________________________
  6.           Street:  ______________________________________________________
  7.                    ______________________________________________________
  8.           City:    __________________________  Prov./State: _____________
  9.           Country: __________________________
  10.           Postal Code / Zip: ________________
  11.  
  12.         Ordered by: _____________________________________________________
  13.         Purchase order number: _________________
  14.  
  15.         =================================================================
  16.         Quantity    Description                         Price
  17.         =================================================================
  18.  
  19.                     INDEXX Professional 8.02 (copyright 1985-1991
  20.                          Norman Swartz) -
  21.                     Indexing software for IBM/MS DOS computers
  22.  
  23.         ___       single-user license*
  24.                         $ 99.00 (US), or
  25.                         $115.00 (CAN)                   _______
  26.  
  27.         ___       group-user license* (3-10 users)
  28.                         $250.00 (US), or
  29.                         $295.00 (CAN)                   _______
  30.  
  31.                         Credit                        - _______
  32.  
  33.                         Subtotal                                  _______
  34.  
  35.                         B.C. residents add 6% Prov.
  36.                         Sales Tax on subtotal                   + _______
  37.  
  38.                         Postage & handling                      +    5.00
  39.  
  40.                         Total (check/cheque enclosed)             _______
  41.  
  42.         Indicate format desired: two 5.25" ( ) or one 3.5" ( ) diskette
  43.         *  Note: prices subject to change.
  44.         =================================================================
  45.         Please make check/cheque payable to Norman Swartz, and remit to:
  46.  
  47.         Norman Swartz
  48.         1053 Ridley Drive
  49.         Burnaby, B.C., CANADA
  50.         V5A 2N7
  51.  
  52.         Inquiries: (604)-420-7454 (9:00-20:00 Pacific time)
  53.