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Text File  |  1996-01-08  |  1.6 KB  |  56 lines
  1.                     PROGRESSIVE PRODUCTS
  2.                         P.O. Box 1575
  3.                     Paso Robles, CA 93447
  4.                    FAX/BBS: (805) 239-7672
  5.  
  6.                          ORDER FORM
  7.                          ==========
  8.  
  9. Name________________________________________________________
  10.  
  11. Street Address______________________________________________
  12.  
  13. City _____________________________ State ____ ZIP __________
  14.  
  15. Country (Leave blank for USA) ______________________________
  16.  
  17. Have you registered with us before? [ ] Yes [ ] No
  18.  
  19. Where did you obtain this software _________________________
  20.  
  21. Preferred disk size: [ ] 5.25 1.2MB  [ ] 3.5 1.44MB
  22.  
  23. Programs you are ordering/registering:
  24.  
  25. [ ] Krazy-Face Deluxe,
  26.     Krazy-Kritters,
  27.     and Krazy-Creatures................ ___ @  $15.00= _________
  28.  
  29.  
  30.                   Calif. residents add 7.25% sales tax _________
  31.  
  32.         Shipping & Handling (Foreign $5.00) (US $3.00)
  33.                                                        =========
  34.  
  35.                                 TOTAL amount enclosed $_________
  36.  
  37. Payment by:  [ ] Visa  [ ] MasterCard  [ ] Check  [ ] Money Order
  38.  
  39. Card number: ___________________________________________
  40.  
  41. Expiration date: _____/_____ (MM/YY)
  42.  
  43.  
  44. Signature:   ___________________________________________
  45.  
  46. Please make check or money order payable to: Progressive Products
  47.  
  48. Please pay in U.S. FUNDS
  49.  
  50. Mail to:  Progressive Products
  51.           P.O. Box 1575
  52.           Paso Robles, CA 93447
  53.  
  54. Or FAX credit card orders to: (805) 239-7672
  55. Or register on our BBS by calling: (805) 239-7672  24 hrs. a day!
  56.