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Text File  |  1992-02-29  |  3KB  |  55 lines

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  2.  |             FAX this order form to: (206)-525-1331, or mail to:           |
  3.  |                                CalcTech, Inc.                             |
  4.  |                                P.O. Box 15277                             |
  5.  |                           Seattle, WA.  98115-0277                        |
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  7.  
  8.                        BizWiz(tm) Order Form
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  10.  |     |                                                  |         |        |
  11.  | Qty | Description                                      |  Price  |  Total |
  12.  =============================================================================
  13.  |     | BizWiz(tm) Financial Calculator.  Single user    |         |        |
  14.  |     | license.  (includes "The HP-12C Pocket Guide")   |  $36.00 |        |
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  16.  |     | Additional copies of "HP-12C Pocket Guide" by    |         |        |
  17.  |     | Grapevine Publications. (ISBN 0-931011-12-4)     |   $6.00 |        |
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  19.  |     | "An Easy Course in Programming the HP-12C" by    |         |        |
  20.  |     |  Grapevine Publications. (ISBN 0-931011-08-6)    |  $22.00 |        |
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  22.  |                                               SHIPPING/HANDLING  |  $4.00 |
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  24.  |                  Washington state residents add 8.2%  sales tax  |        |
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  26.  |                  International AIR MAIL orders please add $5.00  |        |
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  28.                                                                     |        |
  29.                                                              TOTAL  |        |
  30.                                                                     |--------|
  31.      Disk preference:    [ ] 5.25"      [ ] 3.5"
  32.  
  33.  
  34.      Name: _______________________________ Company:_________________________
  35.  
  36.      Phone: (Day) _______________________ (Evening) ________________________
  37.  
  38.      Address: ______________________________________________________________
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  40.      City: ______________________________  State: ________ Zip: ____________
  41.  
  42.      Comments: _____________________________________________________________
  43.  
  44.      _______________________________________________________________________
  45.  
  46.      _______________________________________________________________________
  47.  
  48.      (check one):      [ ] VISA     [ ] Mastercard     [ ] Check Enclosed
  49.  
  50.      Credit card #: _____________________________________ Expires: ____/____
  51.  
  52.      Cardholder's Name (Please print): _____________________________________
  53.  
  54.      Cardholder's Signature: _______________________________________________
  55.