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Text File  |  1991-04-08  |  2.1 KB  |  75 lines
  1.  
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  4.      CEMETERY RESEARCH DATABASE ORDER FORM
  5.  
  6. GDW SOFTWARE
  7. GALE D. WILKINSON
  8. 5430 MEADOW DRIVE
  9. SUMTER, SC  29154
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  12. SHIP TO: _________________________________________________________
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  15. STREET : _________________________________________________________
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  18. CITY   : ________________________  STATE : ____ ZIP : ____________
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  22. PLEASE SEND ME THE FOLLOWING:
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  24.  
  25.     _____    REGISTERED VERSION OF CEMETERY RESEARCH DATABASE
  26.                                                        @ $19.95 each  _____
  27.     _____    REGISTERED LAPTOP VERSION OF CEMETERY RESEARCH DATABASE
  28.                                                        @ $19.95 each  _____
  29.  
  30.           If registering for both take a special price of $34.95 Set  _____
  31.  
  32.     _____    SHAREWARE VERSION OF CEMETERY RESEARCH DATABASE
  33.                                                         @ $5.00 each  _____
  34.     _____    SHAREWARE VERSION OF CEMETERY RESEARCH DATABASE
  35.                                                         @ $5.00 each  _____
  36.     _____    SHAREWARE VERSION OF CEMETERY RESEARCH DATABASE
  37.                                                         @ $5.00 each  _____
  38.                                                         ---------------------
  39.  
  40.                                                       Sub Total   $__________
  41.             Shipping in USA     $ 3.00
  42.             Canadian Addresses  $ 5.00                Shipping    $__________
  43.             Overseas Orders     $10.00                            ----------
  44.  
  45.                                                       TOTAL       $__________
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  48.                                                           
  49.     MAKE CHECK OR MONEY ORDER PAYABLE TO GALE D. WILKINSON     
  50.     PLEASE ALLOW 14 DAYS FOR PERSONAL CHECKS TO CLEAR
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  53.    I WOULD LIKE MY COPIES OF CEMETERY RESEARCH DATABASE ON  5 1/4" DISKS _____
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  55.                                                             3 1/2" DISKS  ____ 
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  57. COMMENTS:
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