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Text File  |  1996-09-20  |  2KB  |  58 lines
  1. Software Registration Form                                 Invoice
  2. ____________________________________________________________________
  3. To:  Accounts Payable
  4.  
  5. Please pay the following invoice.  Make the check payable to ‚ÄúJohn V. Holder‚Äù and send to the address listed below.
  6.  
  7. You must include a copy of this invoice with your payment.
  8.  
  9.  
  10. Invoice Approved: ________________________________
  11.  
  12. Name:
  13. [1]
  14. [2]
  15. [3]
  16. Phone/FAX:   [4]       [5]
  17.  
  18. Email:   [6]
  19.  
  20. Comments:   [7]  
  21.  
  22. Payment Method:   [8][9][10][11]
  23.  
  24. Products Ordered:
  25. ([12]) QuickScrap ($15 each)........................:   [13]
  26. ([14]) ScrapIt Pro ($20 each).......................:   [15]
  27. ([16]) QuickScrap & ScrapIt Pro ($30 each):   [17]
  28. ([18]) QuickPop ($10 each)...........................:   [19]
  29. ([20]) ViewFont ($5 each)..............................:   [21]
  30. ([22]) ColorFall ($10 each)...........................:   [23]
  31. ([24]) Escape! ($10 each)..............................:   [25]
  32. ([26]) SideMinder ($10 each)........................:   [27]
  33.  
  34. Quantity Discount...........:   [28]
  35. Send Latest?...(adds $5):   [29]
  36. Disk Size (800k or HD):   [30]
  37. Sales Tax (CA Only).......:   [31]
  38. Note: Sales Tax is only
  39. collected if you've requested
  40. a disk and you live in
  41. California
  42.  
  43. Total Due.........................:   [32]
  44.  
  45. [33]
  46. ____________________________________________________________________
  47. Print this form and send your check (made payable to ‚ÄúJohn V. Holder‚Äù) to:
  48.  
  49. John V. Holder                                                           Email addresses (AOL is preferred):
  50. 1734 "S" Street                                                        America Online:  JohnHolder
  51. Eureka, CA  95501                                                   Internet...........:  JohnHolder@aol.com
  52. USA                                                                            CompuServe....:  75040,1126
  53.  
  54. FAX:  (707) 443-3813
  55.  
  56. Home Page:   http://www.northcoast.com/~jvholder
  57. (check for the latest new releases and updates!)
  58.