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Text File  |  1997-08-08  |  2KB  |  46 lines
  1. Direct-To-Author Order Form.
  2. aMixer 1.5 for OS/2 Order Form for Check, Money-order, or Cash
  3.  
  4.                                     Cost Per    Number of
  5.                                     License     Licenses    Extended
  6.  --------------------------------------------------------------------
  7.  
  8.                            aMixer   $ 20.00  x           = $
  9.  -----------------------------------           --------     ---------
  10.  
  11.                                            aMixer TOTAL  = $
  12.                                                             =========
  13.  
  14. Send TOTAL payment on check (US Dollars/US bank), money-order, or cash to
  15.  
  16.         CORNEL HUTH                       Always endorse your letter
  17.         6402 INGRAM RD                             AirMail
  18.         SAN ANTONIO TX 78238-3915          if you are not in the USA
  19.         USA
  20.  
  21.    PLEASE PRINT - For comments add a separate page and mark here [  ]
  22.  
  23. Your Name>
  24.            -------------------------------------------------- (required)
  25.  
  26.   Company>
  27.            -------------------------------------------------- (optional)
  28.  
  29.   Address>
  30.            -------------------------------------------------------------
  31.  
  32.  
  33.            -------------------------------------------------------------
  34.  
  35.  
  36.            -------------------------------------------------------------
  37.  
  38.     E-mail>
  39.            -------------------------------------------------------------
  40.  
  41.  Telephone                             Fax
  42.    Number> --------------------------- No.> ----------------------------
  43.  
  44.                                               Today's Date>
  45.            ----------------------------------               ---/----/---
  46.