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Text File  |  1994-10-07  |  2KB  |  54 lines
  1.  
  2.  
  3. Icon Gallery Order Form
  4.  
  5. Yes, I want to purchase more Icon Gallery collections!  Please add me to your registered user list and send me the following Icon Gallery collections.
  6.  
  7. Where I got Icon Gallery: ________________________________
  8.  
  9. Name ________________________________________________________
  10.  
  11. Company _____________________________________________________
  12.  
  13. Address ______________________________________________________
  14.  
  15. City ___________________________ State ______ Zip_________________
  16.  
  17. Country ______________________________________________________
  18.  
  19. Phone   ______________________________________________________
  20.  
  21. E-mail    ______________________________________________________
  22.  
  23. The suggested retail price for each Icon Gallery collection is $59.95.  However, existing Icon Gallery customers can purchase additional collections for a substantial discount.  (plus $7 shipping each).
  24.  
  25. Volume 1: The Original Series
  26. Location                Quantity                          Price (each)                       Total
  27. USA                       ____________     X      $29.95 + $7.00       =  $ _________
  28. International         ____________     X      $29.95 + $12.00    =   $ _________
  29.  
  30. Volume 2: Folders, Documents, and Trashes, Oh My!
  31. Location                Quantity                           Price (each)                       Total
  32. USA                       ____________     X      $37.95 + $7.00       =  $ _________
  33. International         ____________     X      $37.95 + $12.00    =   $ _________
  34.  
  35. Volume 3: Weird, Wild, Wacky, and Wonderful
  36. Location                 Quantity                          Price (each)                       Total
  37. USA                       ____________     X      $37.95 + $7.00       =  $ _________
  38. International         ____________     X      $37.95 + $12.00    =   $ _________
  39.  
  40. All Three (Save!)
  41. Location                 Quantity                          Price (each)                       Total
  42. USA                       ____________     X      $99.95 + $7.00       =  $ _________
  43. International         ____________     X      $99.95 + $12.00    =   $ _________
  44.  
  45. Sorry we cannot accept purchase orders without payment.  We accept VISA, MasterCard, and American Express.  International Orders:  Please pay with US Currency or Money Order. 
  46.  
  47. Send payment to:
  48.  
  49. Component Software Corporation
  50. PO Box 201
  51. Rocky Hill, NJ 08553
  52. 609-497-4501
  53. 609-497-4008 FAX
  54.