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Text File  |  1992-12-01  |  2.1 KB  |  63 lines
  1.  
  2.         Order Form                            December  7, 1992
  3.         
  4.         Personalized Training Diary Ver. 2.11           $49.95
  5.                      _                 _ 
  6.         Disk Size:  |_| 5 1/4 360K    |_| 5 1/4 1.2M
  7.                      _                 _
  8.                     |_| 3 1/2 720K    |_| 3 1/2 1.44M
  9.  
  10.         Send PTD To:
  11.  
  12.         Name:___________________________________________________
  13.  
  14.         Address:________________________________________________
  15.  
  16.         City:____________________ ST:____ Zip:__________________
  17.          _ 
  18.         |_| add $3.00 for 2 day priority mail USA only
  19.          _                          _                 _
  20.         |_| Check or Money Order   |_| MasterCard    |_| Visa
  21.  
  22.         Card#:__________________________ Expiration Date:_______
  23.                   
  24.         Signature:______________________________________________          
  25.                   
  26.         Make check or money order payable to: 
  27.         Lake fFfips Software, Inc.
  28.  
  29.         Connecticut residents include state sales tax.
  30.  
  31.         Mail orders to:
  32.  
  33.         Lake fFfips Software, Inc.
  34.         P.O. Box 8904
  35.         New Haven, CT  06532-8904
  36.  
  37.         Suggestions/Comments/Ideas
  38.  
  39.         _____________________________________________________________
  40.         
  41.         _____________________________________________________________
  42.         
  43.         _____________________________________________________________
  44.         
  45.         _____________________________________________________________
  46.         
  47.         _____________________________________________________________
  48.         
  49.         _____________________________________________________________
  50.         
  51.         If the date on this order form is more call one year old, call
  52.         for the latest version.
  53.  
  54.                      _______
  55.                 ____|__     |                (R)
  56.              --|       |    |-------------------
  57.                |   ____|__  |  Association of
  58.                |  |       |_|  Shareware
  59.                |__|   o   |    Professionals
  60.              -----|   |   |---------------------
  61.                   |___|___|    MEMBER
  62.  
  63.