home *** CD-ROM | disk | FTP | other *** search
/ Cream of the Crop 26 / Cream of the Crop 26.iso / business / tdhp3s10.zip / ORDERFRM.TXT < prev    next >
Text File  |  1997-06-24  |  2KB  |  50 lines
  1.                       Commodity Trader's Helper
  2.                                Order Form
  3.  
  4.  
  5.             Mail this form with check or money order for $11.95US
  6.                                     or 
  7.      Mail, EMail or FAX this form with VISA or MasterCard ($11.95US) order
  8.                          ====================
  9.  
  10. Name: ______________________________________________________________
  11.  
  12. Address: ___________________________________________________________
  13.  
  14. Address: ___________________________________________________________
  15.  
  16. City: ______________________________________________________________
  17.  
  18. State/Province: ____________________________________________________
  19.  
  20. Postal Code: ___________________         Country: __________________
  21.  
  22. Telephone: _____________________         FAX: ______________________
  23.  
  24. EMail: _________________________
  25.  
  26.  
  27. Version (Please check one):
  28.     _____Windows 3.1       _____Windows 95
  29.  
  30. Payment Method (Please select one):
  31.   ____Check        ____Money Order        ____VISA    ____MasterCard 
  32.  
  33. If paying by VISA or MasterCard, please complete the following:
  34.  
  35. Print your name as it appears on the card: _________________________
  36.  
  37. Card Number: __________________________  Expiration Date: __________
  38.  
  39. Signature: _______________________________________  Date: __________
  40.  
  41.                          ====================
  42. Sending Your Order
  43.  
  44. Mail:    Annabec Business Services, Inc.
  45.     P.O. Box 85
  46.     Millersburg, OH 44654
  47.  
  48. FAX:     (330) 674-2747
  49.  
  50. EMail:     Sales@Annabec.com