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Text File  |  1995-08-01  |  2KB  |  58 lines
  1.                  ----------------------------------
  2.                  Stable Technical Graphs Order Form
  3.                  ----------------------------------
  4. To purchase a licensed version of Stable Technical Graphs, please
  5. return this registration form along with your check, postal money
  6. order (drawn on U.S. FUNDS ONLY please), or credit card information
  7. with signature, and mail to or call:
  8.  
  9.                     WINTERRA Software Group, Inc.
  10.                     P.O.Box 4106
  11.                     Highlands Ranch, CO 80126-0100
  12.                     USA
  13.                     
  14.                     Voice/Fax: (303) 470-6323
  15.  
  16. ===================================================================
  17.  
  18.    Name: __________________________________________________________
  19.            
  20. Company: __________________________________________________________
  21.  
  22. Address: __________________________________________________________
  23.  
  24.    City: ____________________________  State: ______  Zip: ________
  25.  
  26.   Phone: (______)____________________  Fax: (______)_______________
  27.  
  28.    Date: __________________  Email: _______________________________
  29.  
  30.  
  31.   Format: [__]  3 1/2" 720-KB    [__] 5 1/4" 360-KB
  32.  
  33. Quantity: [__]  Stable Technical Graphs      @$49.95  $____________
  34.  
  35.                 Shipping/Handling/Customs
  36.           [__]  U.S.                         @$ 4.00  $____________
  37.           [__]  Canada/Mexico                @$ 6.00  $____________
  38.           [__]  International                @$12.00  $____________
  39.  
  40.                                                TOTAL  $____________
  41.  
  42. ===================================================================
  43.  
  44.       Method of Payment: [___] Check  [___] Credit Card
  45.  
  46. Credit Card Information: [___] Visa   [___] Mastercard
  47.  
  48.         Card Number: ___________________________________
  49.  
  50.        Name on Card: ___________________________________
  51.  
  52.     Expiration Date: ___________________________________
  53.  
  54.           Signature: ___________________________________
  55.  
  56. ===================================================================
  57. E220A9508
  58.