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Text File  |  1991-01-31  |  2.1 KB  |  108 lines
  1.  
  2.  
  3.  
  4.                                         ORDER FORM
  5.  
  6.  
  7.  
  8.                Name:  ______________________________________
  9.             Company:  ______________________________________
  10.             Address:  ______________________________________
  11.                    :  ______________________________________
  12.                City:  ______________________________________
  13.               State:  ______________________________________
  14.            Zip Code:  ________________
  15.             Country:  ________________
  16.         E-Mail Acct:  ________________  (CIS/GENie/BIX)
  17.  
  18.  
  19.           WallBlaster, Freeware Edition:  $ 5.00 (USD), includes media and
  20.                     printed documentation
  21.  
  22.           Personal WallBlaster: $ 20.00 Professional WallBlaster:  $ 40.00
  23.  
  24.                PersonalBlaster: $ 20.00      ProfessionalBlaster:  $ 40.00
  25.  
  26.  
  27.           Personal WallBlaster and PersonalBlaster:  $ 30.00
  28.           Profesional WallBlaster and ProfessionalBlaster:  $ 70.00
  29.  
  30.           Add $ 15.00 for next-day shipping
  31.           Contact WrightWorks for details on source code, corporate, and
  32.                     commercial licensing.
  33.  
  34.           Be sure to specify the media type (3.5" 720 KB or 5.25" 1.2MB)
  35.                     for each item ordered.
  36.  
  37.  
  38.               _________________________________________________________
  39.               _________________________________________________________
  40.               _________________________________________________________
  41.               _________________________________________________________
  42.               _________________________________________________________
  43.                                         Sub Total:   _____________
  44.                                 Next Day Shipping:   _____________
  45.                                             Total:   _____________
  46.  
  47.  
  48.                  Make checks and money orders payable to WrightWorks
  49.  
  50.                                      WrightWorks
  51.                             1322 Second Avenue, Suite 2A1
  52.                                  New York, NY 10021
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