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Text File  |  1994-12-08  |  1.9 KB  |  64 lines
  1.                          Advertisement Order Form
  2.  
  3.  
  4. Program Name: ____________________________________________
  5.  
  6. Main Purpose of Program:__________________________________
  7.  
  8. Description of Program:_____________________________________________________
  9.  
  10. ____________________________________________________________________________
  11.  
  12. ____________________________________________________________________________
  13.  
  14. ____________________________________________________________________________
  15.  
  16. ____________________________________________________________________________
  17.  
  18. ____________________________________________________________________________
  19.  
  20. ____________________________________________________________________________
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  22.  
  23. Hardware Requirements: _____________________________________________________
  24.  
  25.                _____________________________________________________
  26.  
  27.  
  28. Software Requirements: _____________________________________________________
  29.  
  30.                _____________________________________________________
  31.  
  32. Distribution Media:    ___3.5    ___5.25     ____Number
  33.  
  34.  
  35.  
  36. Categories:  Circle One
  37.  
  38.     DOS File        Windows         Networking Utilities
  39.     DOS Directory        Windows Kids        Networking Games
  40.     DOS Games        Windows Desktop        Networking Mail
  41.     DOS Business        Windows Business    Text Files
  42.     DOS Kids        Windows Utilities    E-mail
  43.     DOS System Utils    Windows Games        Other
  44.         
  45. ________________________________________________________________________________
  46.  
  47. Name:______________________________________________________________
  48.  
  49. Company:___________________________________________________________
  50.  
  51. Address:___________________________________________________________
  52.  
  53. City:____________________________________ State:_______  Zip:______
  54.  
  55.  
  56. Total Number of Ads: ____________
  57.  
  58. Total Enclosed: _________________
  59.  
  60. ____Check     _____Money Order
  61.  
  62. Send to:    BSC Technologies
  63.         309 NE Sherman
  64.         Ankeny, Iowa  50021