home *** CD-ROM | disk | FTP | other *** search
/ Nebula 1 / Nebula One.iso / Misc / msql-1.0.6 / doc / mSQL-Invoice.txt < prev    next >
Text File  |  1995-05-28  |  2KB  |  60 lines
  1. Fiddich Technologies                Phone : +61 412 644 078
  2. P.O. Box 55, Bond University            Fax   : +61 7 302 2199
  3. Gold Coast, Qld 4229
  4. Australia
  5.  
  6.  
  7.                          Mini SQL 1.0 Invoice
  8.                          ====================
  9.  
  10. Customer Details
  11. ----------------
  12.  
  13. Name        : _________________________________________________
  14.  
  15. Organisation    : _________________________________________________
  16.  
  17. Postal Address    : _________________________________________________
  18.  
  19.                   _________________________________________________
  20.  
  21.                   _________________________________________________
  22.  
  23. E-Mail Address    : _________________________________________________
  24.  
  25.  
  26.  
  27. Order Details
  28. -------------
  29.  
  30.       _____________________________________________________________________ 
  31.      |       |                                     |           |           |
  32.      |  Qty  |               Description           | Unit cost | Sub Total |
  33.      |_______|_____________________________________|___________|___________|
  34.      |       |                                     |           |           |
  35.      |       | Commercial Installation             |  AUD $225 | $         |
  36.      |_______|_____________________________________|___________|___________|
  37.      |       |                                     |           |           |
  38.      |       | Private Installation                |  AUD $ 65 | $         |
  39.      |_______|_____________________________________|___________|___________|
  40.                                                                |           |
  41.                                                        Total   | $         |
  42.                                                                |___________|
  43.  
  44.  
  45. Payment Details
  46. ---------------
  47.                                       _
  48.      Cheque / money order enclosed   |_|   (convert AUD$ into local currency)
  49.  
  50. OR   
  51.                                       _             _
  52.      Please debit my     Mastercard  |_|      Visa |_|   the above total.
  53.  
  54.      Card number  : __ __ __ __   __ __ __ __   __ __ __ __   __ __ __ __
  55.  
  56.      Card valid   : From  __ / __              To  __ / __
  57.  
  58.      Signature    : ________________________   Date  : __ / __ / __
  59.     
  60.