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Text File  |  1999-02-03  |  1KB  |  44 lines

  1. PSYCHEDELICO ORDER FORM INSTRUCTIONS
  2. -------------------------------------------------------
  3.  
  4. We at Forward Design would like to thank you for evaluating Psychedelico.
  5. Please find listed below various methods of purchase.
  6.  
  7. Psychedelico Screen Saver is $14.95.
  8.  
  9. We accept Visa, MasterCard, America Express and Discover credit cards.
  10.  
  11. To order by Phone, call: 800-222-1375 or 651-702-0811
  12. To order online, visit our web site at: www.forwarddesign.com
  13. To order by E-Mail, send this order form to: forward@forwarddesign.com
  14. To order by FAX, send this order form to: 651-578-1934
  15.  
  16. After we receive your order, we will e-mail to you the full product.
  17.  
  18. To order by mail, please send your check or money order to:
  19.  
  20. Forward Design
  21. 2258 Cypress Drive
  22. Woodbury, MN 55125
  23. USA
  24.  
  25. PURCHASE PSYCHEDELICO ORDER FORM
  26. --------------------------------------------------------
  27.  
  28.           COMPANY NAME:
  29.              USER NAME:
  30.              ADDRESS 1:
  31.              ADDRESS 2:
  32.                   CITY:
  33.           STATE/REGION:
  34.        ZIP/POSTAL CODE:
  35.                COUNTRY:
  36.                  PHONE:
  37.                    FAX:
  38.                 E-MAIL:
  39.       CREDIT CARD TYPE:
  40.     CREDIT CARD NUMBER:
  41. CREDIT CARD EXPIRATION:
  42.  
  43. Note: E-mail address is required for us to send you the product.
  44.