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Text File  |  1998-02-17  |  2KB  |  57 lines
  1.                             PPPBBS ORDER FORM
  2.   -------------------------------------------------------------------------
  3.  
  4.                         VISA/MASTERCARD ACCEPTED
  5.  
  6.              MAIL CHECK, MONEY ORDER, OR CREDIT CARD INFO TO:
  7.  
  8.                          ROLAND DE GRAAF
  9.                          977 BUTTERNUT DRIVE SUITE 181
  10.                          HOLLAND  MI  49424
  11.  
  12.         PLEASE MAKE CHECKS/MONEY ORDERS PAYABLE TO ROLAND DE GRAAF.
  13.  
  14.   
  15.      QTY     DESCRIPTION                                  PRICE EACH
  16.     -----    -----------------------------------          ----------
  17.  
  18.     _____    PPPBBS VERSION 3.XX  ......................  US $ 99.00
  19.  
  20.  
  21.              SHIPPING  .................................     FREE
  22.  
  23.  
  24.              SPECIAL: ORDER BY 02-28-98 AND SAVE $50!      (-$ 50.00)
  25.                       (ACTUAL REGISTRATION COST $49)
  26.  
  27.              TOTAL  ................................  US $ ___________
  28.  
  29.  
  30.  
  31.  
  32.  
  33.        Please Type or Print Clearly:
  34.  
  35.  
  36. Name    ______________________________________ 
  37.                                                
  38. Address ______________________________________ 
  39.                                                 Phone: (    )      -
  40. City    ______________________________________ 
  41.                                                 
  42. State/Province ___________ ZIP _______________ 
  43.                                                [ ] Check  [ ] Money Order
  44. Credit Card #                                  [ ] Visa   [ ] Master Card
  45.  
  46. __________  __________  __________  __________ Expiration Date  ___________
  47.  
  48. Signature (Required for Credit Card Orders)
  49.  
  50. ___________________________________________________________________________
  51.  
  52.  
  53. TERMS  - Checks and Money Orders in US funds only.  Prices, specifications,
  54. and availability subject to change without notice.  Please allow 5 days for
  55. personal and company checks to clear.  Not responsible for typos or errors.
  56. No Refunds/No Transfers.
  57.