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  1. ORDER FORM      Micro Tech Specialists
  2.         P.O. Box 1885
  3.         Corvallis, OR 97339
  4.                 (503) 758-4241
  5.  
  6. DESCRIPTION                               QUANTITY   PRICE EACH   SUBTOTAL
  7. --------------------------------------------------------------------------
  8. (Evaluation Copies are for evaluation only; Registered Copies include
  9. latest released working program, detailed documentation and support.)
  10.  
  11. EVALUATION DISK OF ALL PROGRAMS           _______      $ 5.00    $_______
  12.  
  13. Gone Utility     Registered Copy          _______      $12.95    $_______
  14.  
  15. Mclock Utility   Registered Copy          _______      $12.95    $_______
  16.  
  17. POLYROOT         Registered Copy          _______      $20.95    $_______
  18.  
  19. TXTPAINT         Registered Copy          _______      $15.95    $_______
  20.  
  21. PCK utility      Registered Copy          _______      $15.95    $_______
  22.  
  23. Please check one disk size:
  24. ---------------------------                          SUBTOTAL:   $_______
  25. __ 5.25 inches    __ 3.5 inches
  26.                                                      SHIPPING:   $___3.50
  27.  
  28.           COD: $3.50 * UPS 2-DAY AIR: $5.00 * Foreign: $15.00:   $_______
  29.  
  30.                                                          TOTAL  $_______
  31.  
  32.  
  33. NAME________________________________________   PHONE______________________
  34.  
  35. COMPANY_____________________________________   PHONE______________________
  36.  
  37. MAILING ADDRESS____________________   UPS/SHIPPING ADDRESS________________
  38.  
  39. ___________________________________   ____________________________________
  40.  
  41. CITY____________STATE____ZIP_______   CITY_____________STATE____ZIP_______
  42.  
  43.              SIGNATURE________________________________   DATE___/___/_____
  44.  
  45.    *******************************************************************
  46.    *** Please make CHECK or MONEY ORDER payable to :   MOUSSAOUI   ***
  47.    *******************************************************************
  48.  
  49. **********************************************************************
  50. We would also appreciate any input you would care to offer about
  51. our programs.  If you have any ideas or comments that would make
  52. them better programs, please let us know.
  53. ______________________________________________________________________
  54.  
  55. ______________________________________________________________________
  56.  
  57. ______________________________________________________________________
  58.  
  59. ______________________________________________________________________
  60.  
  61.  
  62.