home *** CD-ROM | disk | FTP | other *** search
/ PC Today 19 / 1.EXE / CIPHER / ORDERFRM.TXT < prev    next >
Encoding:
Text File  |  1991-10-04  |  3.7 KB  |  86 lines
  1.   INSTANT REGISTRATION FORM
  2.   Just copy this file to your printer, fold, tape, and mail.
  3.   See CIPHER.TXT for program descriptions.
  4.  
  5.    Quantity  Description                   Price Total
  6.   +--------+------------------------------+-----+-----+
  7.   |        | "Deluxe" CIPHER              | $22 |     |
  8.   +--------+------------------------------+-----+-----+   CIPHER v2.0 was
  9.   |        | CIPHER                       | $15 |     |   acquired from:
  10.   +--------+------------------------------+-----+-----+
  11.   |        | CIPHER puzzle collection #1  | $5  |     |    [ ] PC-Today
  12.   +--------+------------------------------+-----+-----+    [ ] friend
  13.   |        | CIPHER puzzle collection #2  | $5  |     |    [ ] free BBS
  14.   +--------+------------------------------+-----+-----+    [ ] pay BBS
  15.   |        | "Deluxe" EGATrek             | $22 |     |    [ ] disk vendor
  16.   +--------+------------------------------+-----+-----+    [ ] user group
  17.   |        | EGATrek                      | $15 |     |    [ ] other
  18.   +--------+------------------------------+-----+-----+
  19.   |        | "Deluxe" Mah Jongg           | $22 |     |   Name of vendor,
  20.   +--------+------------------------------+-----+-----+   BBS, etc.:
  21.   |        | Mah Jongg                    | $15 |     |
  22.   +--------+------------------------------+-----+-----+   __________________
  23.   |        | Mah Jongg tile sets--4 avail.| $5  |     |
  24.   +--------+------------------------------+-----+-----+   
  25.   |        | "Deluxe" Shooting Gallery    | $22 |     |   SEND TO:
  26.   +--------+------------------------------+-----+-----+    Nels Anderson
  27.   |        | Shooting Gallery             | $15 |     |    92 Bishop Drive
  28.   +--------+------------------------------+-----+-----+    Framingham, MA
  29.   |        | "Deluxe" SuperFly            | $22 |     |    01701-6515
  30.   +--------+------------------------------+-----+-----+    U.S.A.
  31.   |        | SuperFly                     | $15 |     |
  32.   +--------+------------------------------+-----+-----+   SHIPPING:  $4 for
  33.   |        | BassMap                      | $10 |     |   all orders outside
  34.   +--------+------------------------------+-----+-----+   U.S.A.  $2 for non-
  35.   |        | Extra charge for 3.5" disks  | $2  |     |   deluxe versions
  36.   +--------+------------------------------+-----+-----+   within U.S.A.
  37.                         SHIPPING/HANDLING |$2/$4|     |
  38.                                           +-----+-----+
  39.   Minimum credit card order: $15          TOTAL |     |
  40.   Make checks payable to: Nels Anderson         +-----+
  41.   
  42.   Disk Size:  ___ 5.25"  ___ 3.5" (add $2 extra for each 3.5" disk ordered)
  43.   
  44.   Payment:  _____ Check (U.S. funds only)   ______ VISA   ______ MasterCard
  45.   
  46.   Card Number:  _______ _______ _______ _______  Expiration Date:  ________
  47.   
  48.   Signature:  _________________________ (credit card orders must be signed)
  49.   
  50.   Name:  __________________________________________________________________
  51.   
  52.   Address:  _______________________________________________________________
  53.   
  54.   City/State/Zip:  ________________________________________________________
  55.  
  56.   Comments, suggestions:
  57.  
  58.  
  59.  
  60.  
  61.  
  62.  
  63.  
  64.  
  65.  
  66.  
  67.   CIPHER V2.0
  68.                                                                   +-----+
  69.                                                                   |Place|
  70.                                                                   |Stamp|
  71.                                                                   |Here!|
  72.                                                                   +-----+
  73.  
  74.  
  75.                               Nels Anderson
  76.                               92 Bishop Drive
  77.                               Framingham, MA 01701-6515
  78.                               U.S.A.
  79.  
  80.  
  81.  
  82.  
  83.  
  84.  
  85.  
  86.