home *** CD-ROM | disk | FTP | other *** search
/ JCSM Shareware Collection 1996 September / JCSM Shareware Collection (JCS Distribution) (September 1996).ISO / tutorial / 123sb.zip / ORDER.FRM < prev    next >
Text File  |  1993-01-11  |  3KB  |  59 lines
  1.                          ORDER FORM FOR 123-TALK V2.7R
  2.                          ____________________________
  3.  
  4.                  CALL  1-800-847-0309  for CREDIT CARD ORDERS.
  5.                  ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~   
  6.   For all registrations, we'll send you the latest version of 123-TALK, with 
  7.   new features, PLUS A FREE SECOND SPEECH PROGRAM. Fill in the blanks below 
  8.   and send this page with your check or money order:
  9.  
  10.  
  11.  Name: _____________________________________ Phone: ________________________
  12.  
  13.  Child's Name: _____________________________________________________________
  14.  
  15.  Address: __________________________________________________________________
  16.  
  17.  ___________________________________________________________________________
  18.  
  19.  Computer Brand: ___________________________________________________________
  20.  
  21.  Graphic Card (HERC, CGA, EGA, VGA or SVGA): _______________________________
  22.  
  23.  Where did you learn about 123-TALK: _______________________________________
  24.  
  25.  Comments: _________________________________________________________________
  26.  
  27.  
  28. ------------------------------------------------------------------------------
  29.  Quantity    Item                                      Cost Each     Total
  30. ------------------------------------------------------------------------------
  31.  
  32.   ______     123-TALK (PC SPEAKER VERSION)              $ 25.00   __________
  33.  
  34.   ______     123-TALK (SOUND BLASTER VERSION)           $ 25.00   __________
  35.  
  36.   ______     ______________________________________    ________   __________
  37.  
  38.   ______     ______________________________________    ________   __________
  39.              Refer to MANUAL.EXE for other products.
  40.                       ~~~~~~~~~~                         Subtotal __________
  41.  
  42.                                        MD residents add sales tax __________
  43.  
  44.                          Shipping and handling charge outside USA    $ 5.00
  45.                                                                   __________
  46.  
  47.                                                             TOTAL __________
  48.                                                                   **********
  49.  [ ] Check enclosed.  Make payable to DareWare Inc.
  50.  or: Charge my  [ ]Visa  [ ]MasterCard  [ ]American Express
  51.  
  52.  Card No.: ______________________________________ Exp.: __________
  53.  
  54.  Your signature: ___________________________________
  55.  
  56.  Please MAIL to:        C.E.S. Inc.
  57.  ~~~~~~~~~~~~~~         3005 Glenmore Ave.
  58.                         Balto., MD 21214   USA
  59.