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Text File  |  1996-10-31  |  1.6 KB  |  36 lines
  1.   MAIL_MAN ORDER FORM                                     
  2.                                                           
  3.     Company Name                                          
  4.          Contact                                          
  5.          Address                                          
  6. City, State, ZIP                                          
  7.            Phone                                          
  8.     Maximum Ext.                                          
  9.   System Manuals                                          
  10.     User Manuals                                          
  11.    Serial Number                                          
  12.     Order Number                                          
  13.   Payment Method                                          
  14. Credit Card Num.                                          
  15.      Card Holder                                          
  16.                                                           
  17.          MAIL_MAN Registration     0.00                   
  18.        Extension Licenses [+0]     0.00                   
  19.                 Manuals [1/10]     0.00                   
  20.                      SUB-TOTAL     0.00                   
  21.         Florida Sales Tax (7%)     0.00                   
  22.               Order Processing     0.00                   
  23.                    ORDER TOTAL     0.00                   
  24.  
  25. For Credit Card Orders,
  26.    call 800.929.0184 (or 941.377.2515).
  27.  
  28. For Check/money order (US funds only) Orders,
  29.    send with a copy of this form to -
  30.  
  31.  
  32.    MicroMetric
  33.    98 Dade Avenue
  34.    Sarasota, FL  34232-1609  USA
  35.  
  36.