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Text File  |  1993-09-20  |  4.2 KB  |  61 lines
  1. ╔═════════════════════════════════════════════════════════════════════════════╗
  2. ║                                                                             ║
  3. ║                              O R D E R   F O R M                            ║
  4. ║                                                                             ║
  5. ║                           ┌───────────────────────┐                         ║
  6. ║                    Mail   │  Sheldon L. Sobel     │                         ║
  7. ║                           │  46 Joppa Road        │                         ║
  8. ║                     To:   │  Merrimack NH  03054  │                         ║
  9. ║                           └───────────────────────┘                         ║
  10. ║                                                                             ║
  11. ║                                                                             ║
  12. ║             ___________________________________________________             ║
  13. ║                  First Name        M.I.          Last Name                  ║
  14. ║                                                                             ║
  15. ║             ___________________________________________________             ║
  16. ║                             Title  &  Company Name                          ║
  17. ║                                                                             ║
  18. ║             ___________________________________________________             ║
  19. ║                                Address Line 1                               ║
  20. ║                                                                             ║
  21. ║             ___________________________________________________             ║
  22. ║                                Address Line 2                               ║
  23. ║                                                                             ║
  24. ║             ___________________________________________________             ║
  25. ║                 City                         State/Province                 ║
  26. ║                                                                             ║
  27. ║             ___________________________________________________             ║
  28. ║                  ZIP Code/Postal Code               Country                 ║
  29. ║                                                                             ║
  30. ║             ___________________________________________________             ║
  31. ║                              Telephone Number                               ║
  32. ║                                                                             ║
  33. ║                                                                             ║
  34. ║Form WYWA001                                                                 ║
  35. ╠═════════════════╦═════════════════════════════════════════════╦═════════════╣
  36. ║  No. of Copies  ║                 Product                     ║    Total    ║
  37. ╠═════════════════╬═════════════════════════════════════════════╬═════════════╣
  38. ║                 ║ "W Y W A" Software & License (5¼" Diskette) ║  $          ║
  39. ╟─────────────────╫─────────────────────────────────────────────╫─────────────╢
  40. ║                 ║ "W Y W A" Software & License (3½" Diskette) ║  $          ║
  41. ╠═════════════════╩═════════════════════════════════════════════╬═════════════╣
  42. ║                                 Shipping & Handling           ║  $          ║
  43. ╠═══════════════════════════════════════════════════════════════╬═════════════╣
  44. ║                                                     TOTAL     ║  $          ║
  45. ╚═══════════════════════════════════════════════════════════════╩═════════════╝
  46.  
  47.  
  48.                                      PRICING
  49.                                   U.S. Currency
  50.                             (1) drawn on a U. S. bank
  51.                                        or
  52.                      (2) an International Postal Money Order
  53.  
  54.          1 copy  $25.00        2 copies  $45.00        3 copies  $60.00
  55.  
  56.        4 or more copies = $60.00 plus $10.00 per copy for 4th to Nth copy.
  57.                [e.g.  12 copies:  $60.00 + $10.00 x 9  =  $150.00]
  58.             
  59.        Shipping & Handling:   $4.00 USA    $5.00 Canada   $7.50 Elsewhere
  60.  
  61.                      Contact the author for site licensing.