home *** CD-ROM | disk | FTP | other *** search
/ Shareware Super Platinum 8 / Shareware Super Platinum 8.iso / mac / DATABASE / ROAD32.ZIP;1 / INVOICE.DOC < prev    next >
Encoding:
Text File  |  1993-07-03  |  2.0 KB  |  64 lines
  1.  
  2.  
  3.                                      INVOICE
  4.                             Roadways PC version 3.2
  5.  
  6.         Remit to:
  7.  
  8.         Doug Fitler
  9.         P.O. Box 25424
  10.         Scott AFB, Il.  62225-0424
  11.  
  12.         Date: _________________
  13.  
  14.         From:
  15.         Name: ________________________________________________________
  16.  
  17.         Company: _____________________________________________________
  18.  
  19.         Street Address: ______________________________________________
  20.  
  21.         City: ____________________   State: __________________________
  22.  
  23.         Zip Code: ________________
  24.  
  25.         Quantity: ________ 
  26.  
  27.         Pricing:               Check the options you wish
  28.                                                 
  29.           Basic Registration    :  $10.00  [  ]
  30.           Lifetime Free upgrades:  $15.00  [  ] (must also order basic)
  31.           City Editor Program   :  $10.00  [  ]
  32.  
  33.         Special offer:
  34.  
  35.              All of the above      :  $30.00  [  ] + $2.00 ship/hndlng
  36.              
  37.              (NOTE: Illinois Residents must add 6.25% sales tax)
  38.  
  39.         Total sent :  $________
  40.  
  41.         I use 5 1/4" _____   3 1/2" _____   High Density (Y/N)? ______
  42.  
  43.         Home Phone (not required): (____)-____________________________
  44.  
  45.         Work Phone (not required): (____)-____________________________
  46.  
  47.         Where did you find Roadways PC?_______________________________
  48.  
  49.         ______________________________________________________________
  50.  
  51.         Comments or Suggestions: _____________________________________
  52.  
  53.         ______________________________________________________________
  54.  
  55.         ______________________________________________________________
  56.  
  57.         Note that Roadways PC has been delivered and accepted by the
  58.         customer.  Upon receipt of this paid invoice, if an upgrade has
  59.         occurred, a current disk and any updated documentation will be
  60.         sent.
  61.                                                                     RW32
  62.  
  63.  
  64.