home *** CD-ROM | disk | FTP | other *** search
/ Cream of the Crop 1 / Cream of the Crop 1.iso / WINDOWS / PSBR22.ARJ / ORDER.FRM < prev    next >
Text File  |  1992-04-29  |  2KB  |  49 lines
  1.                                   ORDER FORM
  2.           ------------------------------------------------------------
  3.  
  4.           Point & Shoot Backup/Restore V2.2      S/N: PASBR2.2________
  5.  
  6.           Mail To:  Applied Micro Systems Technology
  7.                     P.O. Box 1784
  8.                     Stillwater, OK  74076
  9.                     (405) 377-0444
  10.  
  11.           Name:     __________________________________________________
  12.  
  13.           Company:  __________________________________________________
  14.  
  15.           Address:  __________________________________________________
  16.  
  17.                     __________________________________________________
  18.  
  19.           Phone:    (______) ______-________
  20.  
  21.  
  22.                Disk: 5.25"[ ]  3.5"[ ]   Quantity    Price    Extended
  23.  
  24.                P&S Backup/Restore        ________    35.00    ________
  25.                P&S Home Manager          ________    35.00    ________
  26.                Popup Help & Data (Ph.D.) ________    35.00    ________
  27.                Upgrades _________________________    15.00    ________
  28.                Volume discounts and site licenses     CALL    ________
  29.  
  30.                SUBTOTAL                                       ________
  31.  
  32.                Oklahoma residents add 7.5% sales tax          ________
  33.                Shipping (add $2.50 for each item)             ________
  34.                Overseas (add $2.50 for each item)             ________
  35.  
  36.                TOTAL ORDER (U.S. dollars/U.S. bank)           ________
  37.  
  38.  
  39.           Paid by: Check[ ]   Money Order[ ]   VISA[ ]   MC[ ]   PO[ ]
  40.  
  41.           VISA/MC/PO#: _________________________   Exp Date: _________
  42.  
  43.           Signature (rqd for credit card): ___________________________
  44.  
  45.           Where did you hear about this program? _____________________
  46.  
  47.           Comments:
  48.  
  49.