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Text File  |  1995-03-16  |  2.3 KB  |  63 lines
  1.  
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  5. ΓÇö ΓÇö ΓÇö ΓÇö ΓÇö ΓÇö ΓÇö ΓÇö ΓÇö ΓÇö ΓÇö ΓÇö ΓÇö ΓÇö ΓÇö ΓÇö ΓÇö ΓÇö ΓÇö ΓÇö ΓÇö ΓÇö ΓÇö ΓÇö ΓÇö ΓÇö ΓÇö ΓÇö 
  6.  
  7. Product Order Form
  8.  
  9. From:                                                                                                                                             Date:
  10.  
  11. ________________________________________                                                _____________________
  12.  
  13. ________________________________________
  14.  
  15. ________________________________________
  16.  
  17. To:     
  18.  
  19. True BASIC Inc.
  20. 12 Commerce Avenue, Suite 3, West Lebanon NH 03784-1669
  21. 24-Hr. Fax: 603 298-7015   ΓÇó  800 436-2111  ΓÇó  e-mail: sales@truebasic.com
  22.  
  23.     Order:    
  24.  
  25.     ____     QwikRAFFLEΓäó for Macintosh.       Item #: 79-008&Q.        @ 29.00 each :          _______
  26.  
  27.     ____     #76-011 Perfed paper for raffle tickets.  100-sheet pack      @ 6.00 each :     _______
  28.  
  29.  
  30.     ____     #76-012 Perfed paper for raffle tickets.  500-sheet pack      @ 24.00 each :  _______
  31.  
  32.  
  33. ____     QwikBILLΓäó for Macintosh.       Item #: 79-001&Q.        @ 49.00 each :                       _______
  34.  
  35. ____     QwikBILLTIMEΓäó for Macintosh.       Item #: 79-033&Q.     @ 29.00 each :               _______
  36.  
  37. ____     QwikMAILISTΓäó for Macintosh.       Item #: 79-020&Q.        @ 19.00 each :               _______
  38.  
  39.     ____     #76-3x10 Labels.   50-sheet pack (1500 labels).        @ 8.95 each :                    _______
  40.  
  41.     ____     #76-3x10 Labels.   250-sheet pack (7500 labels).        @ 35.95 each :              _______
  42.  
  43.     ____     #76-2x5 Labels.   50-sheet pack (1500 labels).        @ 8.95 each :                          _______
  44.  
  45.     ____     #76-2x5 Labels.   250-sheet pack (7500 labels).        @ 35.95 each :                    _______
  46.  
  47.     ____     ZipZAPPΓäó for Macintosh.       Item #: 53-MAC&Q.        @ 29.00 each :                     _______
  48.  
  49.     ____     QwikCONGRESSΓäó for Macintosh.       Item #: 79-015&Q.@ 19.00 each :         _______
  50.  
  51.                                                                                                                                                        Shipping:               $5.00
  52.  
  53.                                                                                                                                          Total Enclosed:       $   _______
  54.  
  55. Payment by: 
  56.  
  57.  [   ] Cash, check or money order;    [   ] Visa;    [   ] MasterCard;   [   ] Discover;   [   ] AMEX
  58.  
  59.  
  60.     Credit Card Number: ________  ________  ________  ________        Expiration Date: ______
  61.  
  62.     Signature: ____________________________
  63.