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Text File  |  1986-10-25  |  1.6 KB  |  58 lines
  1.           INVOICE
  2.  
  3.  
  4.           To:  Custom Technologies
  5.                PO Box 10096
  6.                Panama City,  FL  32404
  7.  
  8.  
  9.  
  10.           Name: _________________________________________________
  11.  
  12.           Address:  _____________________________________________
  13.  
  14.                     _____________________________________________
  15.  
  16.                     _____________________________________________
  17.  
  18.  
  19.  
  20.           Today's Date:  ________________________________________
  21.  
  22.  
  23.  
  24.           Where do you hear about (and/or receive a copy of)
  25.           CheckMate?
  26.  
  27.                [ ] BBS    Name_________________  Ph______________
  28.                [ ] SIG    Name___________________________________
  29.                [ ] CompuServe
  30.                [ ] Friend
  31.                [ ] Magazine  Name________________________________
  32.                [ ] Other ________________________________________
  33.  
  34.  
  35.  
  36.  
  37.  
  38.           Indicate the Product and Quantity to Order:
  39.  
  40.           Product                                Qty       Price
  41.           -------                                ---       -----
  42.           Fully Registered CheckMate @ $25 EA    ___    ________
  43.             (Disk, Printed Manual)
  44.  
  45.           Unregistered CheckMate  @ $7 EA        ___    ________
  46.             (Disk only, short manual
  47.              on disk)
  48.  
  49.  
  50.           Tax (Florida Residents add 5%)                ________
  51.  
  52.           Shipping & Handling                              N/C
  53.  
  54.  
  55.           TOTAL.....................................    ________
  56.  
  57.  
  58.           Make Checks Payable to Custom Technologies