home *** CD-ROM | disk | FTP | other *** search
/ Amiga ISO Collection / AmigaDemoCD1.iso / DEMOS / ESCHWARTZ-GulfConflictAnim.lha / OrderForm.pp / OrderForm
Encoding:
Text File  |  1991-04-26  |  1.9 KB  |  54 lines
  1.                   ERIC SCHWARTZ ANIMATION DISK ORDER FORM
  2.  
  3. Name _______________________________
  4.  
  5. Address _______________________________
  6.  
  7.         _______________________________
  8.  
  9.  __ I would like information about retail sales of anim disks
  10.  
  11.     My business's name is __________________________________
  12.  
  13.  
  14.  __ I would like a free AFIT AUG newsletter (AFIT Gazette)
  15.  
  16.  
  17.     I would like these disks at $2.75 per disk:___________________________
  18.              (the first 5 disks)
  19.                                                ___________________________
  20.  
  21.     I would like these additional disks at $1.75:_________________________
  22.  
  23.                                                  _________________________
  24.  
  25.                                                  _________________________
  26.  
  27.                *************************************************
  28.               *                                                 *
  29.               * ___ disks X $2.75 = $____                       *
  30.               *                                                 *
  31.               * ___ disks X $1.75 = $____                       *
  32.               *                                                 *
  33.               *          shipping = $0.50                       *
  34.               *                                                 *
  35.               *             TOTAL = $____ (the amount enclosed) *
  36.               *                                                 *
  37.                *************************************************
  38.  
  39. OPTIONAL:
  40.  
  41.    Your phone _______________
  42.  
  43.    Name of user groups that you are a member of __________________________
  44.  
  45.       ____________________________________________________________________
  46.  
  47.    Their BBS numbers (if any) ____________________________________________
  48.  
  49.    Comments/suggestions __________________________________________________
  50.  
  51.       ____________________________________________________________________
  52.  
  53.  
  54.        CHECKS SHOULD BE MADE PAYABLE TO "THE ES ANIMATION COLLECTION"