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Text File  |  1992-07-29  |  3KB  |  61 lines
  1.                                POPDBF ORDER FORM
  2.                     
  3.           Bowen Software
  4.           P.O. Box 2134                      (309) 699-0950
  5.           East Peoria, IL  61611
  6.           ===============================================================
  7.                                                    PRICE       PRICE
  8.           PRODUCT                         QTY      EACH       EXTENDED
  9.           -----------------------------   ---      -----      --------
  10.           PopDBF 4.0
  11.             Quantity   1 to  4            ___      $35.00     $_______
  12.             Quantity   5 to  9            ___      $28.00     $_______
  13.             Quantity  10 to 49            ___      $26.25     $_______
  14.             Quantity  50 to 99            ___      $24.50     $_______
  15.             Quantity 100+                 ___      $22.75     $_______
  16.  
  17.           Printed Manual                  ___      $10.00     $_______
  18.           PopDBF Evaluation disk          ___       $5.00     $_______
  19.           PopAID 1.2                      ___      $15.00     $_______
  20.  
  21.           Shipping & Handling                       $5.00        $5.00
  22.           Purchase Order handling (whenever         $5.00     $_______
  23.           invoice required)
  24.           
  25.           Foreign orders, except Canada, add(*)     $5.00     $_______
  26.           
  27.                                                   SUBTOTAL    $_______
  28.                     
  29.           Illinois sales tax (6.25%)                          $_______
  30.           (for orders shipped to Illinois addresses only)
  31.           
  32.                                                    TOTAL      $_______
  33.           
  34.           Name: ________________________________ Phone:________________
  35.           
  36.           Address:_____________________________________________________
  37.           
  38.           Address: ____________________________________________________ 
  39.           
  40.           City: _______________________________________________________
  41.  
  42.           State/Province, Zip: ________________________________________
  43.  
  44.           Country (if not USA): _______________________________________
  45.           
  46.           Where did you learn about PopDBF?____________________________
  47.           _____________________________________________________________
  48.           
  49.           Disk Size?  3.5" [ ]     5.25" [ ]
  50.  
  51.           I understand that if I am not completely satisfied, I may return
  52.           PopDBF within 60 days for a refund.  Prices subject to change
  53.           without notice.
  54.  
  55.           To place a credit card order and ONLY a credit card order,
  56.           call 1-800-242-4775 (US only) or 1-713-524-6394.
  57.           
  58.           * Foreign orders paid by check MUST be in US $ and drawn through a
  59.           US bank or through the US branch of a foreign bank.
  60.           
  61.