home *** CD-ROM | disk | FTP | other *** search
/ JCSM Shareware Collection 1996 September / JCSM Shareware Collection (JCS Distribution) (September 1996).ISO / billacct / invjr.zip / ORDER.DOC < prev    next >
Text File  |  1993-07-28  |  2KB  |  58 lines

  1. --------------------------- O R D E R   F O R M ---------------------------
  2.  
  3. Please send order form to:                              
  4.  
  5.    Software Store Products, Inc.
  6.    P.O. Box 562
  7.    Oakdale, N.Y. 11769-0562
  8.    U.S.A.
  9.  
  10.  
  11. Company: __________________________________________________________
  12.  
  13. Contact: __________________________________________________________
  14.  
  15. Address: __________________________________________________________
  16.  
  17.      __________________________________________________________
  18.  
  19.      __________________________________________________________
  20.  
  21. Phone:   ___________________________
  22.  
  23.  
  24. Desired Diskette Size (3.5" preferred)              ___ 3.5"   ___ 5.25"
  25.  
  26. The Invoice Store JR .................................... $20.00
  27.  
  28. Sales Tax (New York State Residents Only) ............... ______________
  29.  
  30. Shipping ................................................ $4.00
  31.  
  32. Overseas Orders (Please add $10.00) ..................... ______________
  33.  
  34. Total Enclosed .......................................... ______________
  35.  
  36.  
  37. -----------------------CREDIT CARD ORDERS ONLY--------------------------
  38.  
  39. Card Type:    ___VISA   ___MASTERCARD  
  40.  
  41. Card #__________________________________________  Expiry date __________
  42.  
  43. Name of cardholder______________________________________________________
  44.  
  45. Signature___________________________________________  Date _____________
  46.  
  47. ------------------------------------------------------------------------                        
  48.  
  49.  
  50. Make Check or Money Order payable to:
  51.    Software Store Products, Inc.
  52.  
  53. (Please Note:  Payment must be made in United States funds)
  54.  
  55. Please feel free to use opposite side of this form for comments or
  56. suggestions.
  57.  
  58.