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Text File  |  1993-12-09  |  1KB  |  38 lines
  1.                         VDS Advanced Research Group
  2.                               P.O. Box 9393
  3.                         Baltimore, MD 21228, U.S.A.
  4.  
  5.                              VDS Order Form
  6.                                                                        
  7.                                                 Date: ___/___/_____
  8.  
  9. Name:________________________________________________________________
  10.  
  11. Address:_____________________________________________________________
  12.        
  13.         ________________City: ____________ State: _____ Zip:_________
  14.  
  15. Phone:  (      )        -                      (      )       -      
  16.  
  17. Contact Person:______________________________________________________
  18.  
  19. License Type:    ( ) Personal    ( ) Academic    ( ) Business
  20.  
  21. Number of Copies:______________
  22.  
  23. Total Amount: $19.00 x Number of Copies = ________  + $2.95 = _______
  24.  
  25. Recommended By:___________________________________________________
  26.  
  27. Comments:____________________________________________________________
  28.  
  29.          ____________________________________________________________
  30.          
  31.          ____________________________________________________________
  32.                   
  33.  
  34. * Fill in the blanks, include a money order (outside the U.S.) or check for
  35.   the total amount and mail it to our address at the top. Allow 2 weeks
  36.   for delivery. Mailing cash is acceptable but not recommended.
  37.   
  38.