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Text File  |  1992-05-20  |  2.3 KB  |  59 lines
  1.  
  2.                             Image Alchemy 1.6 Order Form
  3.  
  4.     Qty    Description                                       Price     Total
  5.  
  6.  
  7.     _____  Image Alchemy for MS-DOS (Dual Media)              79.95  __________
  8.  
  9.     _____  Image Alchemy/386 for 80386 Protected Mode (3.5") 199.95  __________
  10.  
  11.     _____  Image Alchemy/SPARC for Sun (3.5")                199.95  __________
  12.  
  13.     _____  Image Alchemy/SPARC for Sun (1/4")                199.95  __________
  14.  
  15.     _____  Image Alchemy/6000 for IBM RS/6000 (3.5")         199.95  __________
  16.  
  17.     _____  Image Alchemy/Unix for 386 Unix (3.5")            199.95  __________
  18.  
  19.  
  20.                                                           Sub-Total: __________
  21.  
  22.                       California Residents add applicable sales tax: __________
  23.  
  24.       Shipping and handling       UPS Ground (US only)         4.00
  25.       (per copy)                  FedEx Second Day (US only)   8.00
  26.                                   FedEx Overnight (US only)   20.00
  27.                                   International AirMail       12.00
  28.                                   International Express Mail  30.00  __________
  29.                                                                      
  30.                                                         Total (US$): __________
  31.  
  32.  
  33.     Circle Payment form:       Check      Visa       MC       Amex
  34.  
  35.  
  36.     Card #: _____________________________________     Exp. Date: ______________     
  37.  
  38.  
  39.     Signature: ________________________________________________________________
  40.  
  41.  
  42.     Ship to:                             Bill to:
  43.     Name: _____________________________  Name: ________________________________
  44.  
  45.     Company: __________________________  Company: _____________________________
  46.  
  47.     Address: __________________________  Address: _____________________________
  48.  
  49.     City: _____________________________  City: ________________________________
  50.  
  51.     State: ________  Zip: _____________  State: _________  Zip: _______________
  52.  
  53.     Phone: (______) ___________________  Fax: (______) ________________________
  54.  
  55.  
  56.     Send to:                                Phone: +1 408 358 1292
  57.     Handmade Software, Inc.                 Fax:   +1 408 358 2694
  58.     15951 Los Gatos Blvd., Ste. 17          Email: hsi@netcom.COM
  59.     Los Gatos, CA  95032                    Email: 71330,3136 (CompuServe)