home *** CD-ROM | disk | FTP | other *** search
/ Just Sports / Quantum Axcess - Just Sports.iso / poolshrk / p-shark / ORDER.FRM < prev    next >
Text File  |  1993-11-13  |  1KB  |  24 lines
  1.   
  2.   Please make check or money order payable to : Ken Griffin 
  3.   Mail to.....................................Eduline Software Productions
  4.                                               1448 42 Street N.E.
  5.                                               Calgary, Alberta
  6.                                               CANADA, T2A 3L4 
  7.       Name: ______________________________  
  8.    Address: ______________________________  
  9.       City: ______________________________ 
  10.      State: ______________________________ 
  11.   Zip Code: _______
  12.    
  13.   Quantity   Version    Unit Price   Totals        Indicate One Payment Method
  14.   -----------------------------------------        ---------------------------
  15.       ____   Regular        $20.00  _______                   Check (Y/N): YES
  16.       ____   Custom Gift    $25.00  _______             Money Order (Y/N): NO 
  17.  
  18.                         Sub Total:  _______                        Disk Size
  19.           State or Provincial Tax:  _______                       ----------
  20.                         Other Tax:  _______                       3 1/2: ___
  21.             Shipping and Handling:    $3.00                       5 1/4: ___
  22.                                     -------    
  23.                     Total Payment:  _______    
  24.