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Text File  |  1991-04-12  |  1.6 KB  |  52 lines
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  5.                  O R D E R   F O R M
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  8.        TO:  V-QLIB                                   Date____/____/____
  9.         c/o Eric L. Yale
  10.         Rt 1 Box 327-N
  11.         LaGrange, NC 28551
  12.  
  13.  
  14.          From:  Name _______________________________________________________
  15.  
  16.                 Address ____________________________________________________
  17.  
  18.                 City __________________________ State ________ Zip _________
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  20.                 Area Code (______)  Phone __________________________________
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  23.  
  24.              PRODUCT-------QUANTITY--  EACH-------   EXTENDED-
  25.  
  26.              "V-QLIB"       ______  X   $25.00each    $________
  27.  
  28.                         Sub-Total     $________
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  30.                                                 Total          $_______
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  35.                 --------------------- User comments ----------------------
  36.  
  37.         I acquired V-QLIB v1.4 from
  38.                    [ ] - Friend                    [ ] - Software product
  39.                    [ ] - Computer Club             [ ] - Computer Store
  40.            [ ] - Data Base Service         [ ] - PC-SIG
  41.  
  42.                 Comments or suggestions: ___________________________________
  43.                 ____________________________________________________________
  44.                 ____________________________________________________________
  45.                 ____________________________________________________________
  46.  
  47.                 problems:___________________________________________________
  48.                 ____________________________________________________________
  49.                 ____________________________________________________________
  50.                 ____________________________________________________________
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