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ORDER.WDK
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1994-09-09
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3KB
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64 lines
WinDisKlone ORDER FORM (MAIL or FAX in) Updated 09/09/94
For more information, see EZXINFO.EXE, SUPPORT.EXE & ORDRFORM.EXE
MAIL TO: EZX Publishing & Distributing (EZX Corporation)
PO Box 58177, Attention Dept.WDK501c, Webster (Houston), TX 77598-8177 USA
FAX to:1-713-280-0099 (24 hours) and/or Voice:1-713-280-9900 (Business Hours)
~~~~~~~~~~~~~~
SHIP ORDER TO:
Company Name ____________________________________________________________
YOUR NAME _______________________________________________________________
ADDRESS _________________________________________________________________
City, ST, Zip, Country ______________________________________________________
Phones: Voice:_________________________ FAX:____________________________
(with area codes) OTHER:____________________________
IF above address is not the billing address (where the bill is received) for
your credit card, please enter same here:
Type (V/MC/Disc/Amex): ___________________________________ ________
Exp.Date
Card Number (13 or 16 digits): ___________________________________
Name that appears on card: ___________________________________
Is this a Company Card ? [ ] Y/N Name on card if so? ________________________
*Signature* (required): x___________________________________
Unit
ITEM DESCRIPTION Quantity Price TOTALS
^^^^^^^^^^^^^^^^ ^^^^^^^^ ^^^^^ ^^^^^^
WinDisKlone (Single User; 3.5") for Windows ________ _$59.00_ ________
(only available on 3.5" disk) 3.1+ per user
___________________________________________ ________ ________ ________
FormPower for Windows______________________ ________ _$99.00_ ________
(Forms Processor Extroadinaire) per user
___________________________________________ ________ ________ ________
___________________________________________ ________ ________ ________
___________________________________________ ________ ________ ________
___________________________________________ ________ ________ ________
___________________________________________ ________ ________ ________
___________________________________________ ________ ________ ________
___________________________________________ ________ ________ ________
CC App. Code: PRODUCT SUB-TOTAL ________
Check #: ($7/USA48; $12/AK,HI,PR,CDN; $24 Elsewhere)-SHIPPING ________
Amount: "TAX" TOTAL INCLUDING SHIPPING ________
Tax Exempt #: 8.25% Sales Tax (TEXAS ONLY, see above) ________
(Requires state certificate.)
ORDER TOTAL ________