home *** CD-ROM | disk | FTP | other *** search
/ Loadstar 102 / 102.d81 / ordform 102 < prev    next >
Encoding:
Text File  |  1992-01-01  |  1.9 KB  |  59 lines
  1.                LOADSTAR MARKETPLACE ORDER FORM
  2.            OFFER #:MPLS02 -- Offer Expires 12/30/92
  3.                 1 - 8 0 0 - 8 3 1 - 2 6 9 4
  4.  
  5. Item                         Code   Qty.    Price    Total
  6. ----                         ----   ----    -----    -----
  7. The Print Shop              201025  .....   $34.95   ......
  8.  
  9. Graphics Gallery II         070125  .....   $14.95   ......
  10.  
  11. ICONtroller                 962125  .....   $14.95   ......
  12.                               
  13.                                        SUBTOTAL $..........
  14.  
  15. Louisiana residents please add 4% sales tax     $..........
  16.  
  17. SHIPPING & HANDLING:
  18. U.S.A. -- UPS Ground - $4.25 for first item,
  19. $1.00 for each additional item.
  20. INTERNATIONAL: $10.00 per item.                 $..........
  21.  
  22.                                 TOTAL DUE=====> $..........
  23.  
  24. CUSTOMER NO.................... (Look just above your name
  25.  on the address card of your subscription pack.)
  26.  
  27. Name.......................................................
  28.  
  29. Street Address.............................................
  30.  
  31. Mailing Address............................................
  32.  
  33. City.................................. State...............
  34.  
  35. Zip.................... Country............................
  36.  
  37. Mail Code..................................................
  38.  
  39. Phone:(...........)........................................
  40.  
  41. PAYMENT METHOD
  42.  
  43.  ........... Payment enclosed. (Make check or money order
  44.  payable to Softdisk Publishing.  If outside the U.S. print
  45.  in "U.S. FUNDS" on your check.)
  46.  
  47. .......... Discover  ........... Visa/MC  ...........Am Exp.
  48.  
  49. Account #.............................. Exp. Date..........
  50.  
  51. Signature .................................................
  52.      (Allow 2-4 weeks for delivery.)
  53.  
  54.                            Mail to:
  55.                       SOFTDISK PUBLISHING
  56.              PO BOX 30008, SHREVEPORT, LA 71130-0008 
  57.                  1-800-831-2694 or 318-221-8718
  58.                                                                   
  59.