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Text File  |  1991-05-24  |  1.8 KB  |  55 lines
  1.                               ORDER FORM
  2.      ------------------------------------------------------------
  3.  
  4.      MenuDIRECT Gold 3.0                S/N:  MDR3.______________
  5.      (was P&S Hard Disk Mgr from AMST)
  6.      
  7.         (please fill in the serial number from About screen)
  8.  
  9.      Mail To:  INTERNATIONAL MICROCOMPUTER SOFTWARE, INC.
  10.                1938 Fourth Street
  11.                San Rafael, CA  94901
  12.                (415) 454-7101
  13.  
  14.      Name:     __________________________________________________
  15.  
  16.      Company:  __________________________________________________
  17.  
  18.      Address:  __________________________________________________
  19.  
  20.                __________________________________________________
  21.  
  22.                _________________  Phone: (______) ______-________
  23.  
  24.           
  25.                                     Quantity    Price    Extended
  26.  
  27.            MenuDIRECT Gold          ________    79.95    ________
  28.            
  29.            MenuDIRECT Net           ________     CALL    ________
  30.            
  31.            BackupDIRECT             ________    79.95    ________
  32.  
  33.            Upgrades ________________________     CALL    ________
  34.  
  35.                  Subtotal                                ________
  36.  
  37.                  CA residents add 7% sales tax           ________
  38.                  Shipping ($5 + $2 each addit. item)     ________
  39.  
  40.                  Total Order (U.S. dollars/U.S. bank)    ________
  41.  
  42.                       
  43.      Paid by:   Check[ ]  MO[ ]  PO[ ]  VISA[ ]  MC[ ]  AmExp[ ]
  44.  
  45.      Card/PO#: ____________________________   Exp Date: _________
  46.  
  47.      Authorized Signature: ______________________________________
  48.  
  49.      (Call for information on volume discounts and site licenses)
  50.  
  51.  
  52.      Where did you hear about this program? _____________________
  53.  
  54.      Comments:
  55.