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/ The PC-SIG Library 10 / The PC-Sig Library - Shareware for the IBM PC and Compatibles (PC-SIG)(Tenth Edition Disks 1-2804)(1991).iso / PC_SIGCD / 07 / 3 / DISK0738.ZIP / INVOICE.TXT < prev    next >
Text File  |  1988-01-01  |  2KB  |  58 lines
  1.  
  2.  
  3.  
  4.  
  5.  
  6.  
  7.           +----------+ (tm)
  8.           | EasyMenu | PUBLISHING
  9.           +----------+ ____________________________________________________
  10.                                                                P.O. Box 346
  11.                                                        Perrysburg, OH 43551
  12.                                                              (419) 666-7103
  13.           
  14.                                  CUSTOMER ORDER FORM
  15.           
  16.           
  17.           
  18.           ____ EasyMenu (TM) - Complete ............ @ $ 49.95 ea  $ ______
  19.           
  20.           
  21.           ____ License - per computer .............. @ $ 24.95 ea  $ ______
  22.           
  23.           
  24.           
  25.                                                              Subtotal______
  26.                                                                            
  27.              (Ohio residents please add 6.0% sales tax)           Tax______
  28.                                                                            
  29.                                                                            
  30.                                                              Total $ ______
  31.           Payment by:
  32.           ( ) Check   ( ) MasterCard   ( ) Visa
  33.           
  34.           Name _________________________________________Date ______________
  35.           
  36.           Company _________________________________________________________
  37.           
  38.           Address _________________________________________________________
  39.           
  40.           Address _________________________________________________________
  41.           
  42.           City ____________________________ State ____ Zip ________________
  43.           
  44.           Card # _______________________________ Exp Date _________________
  45.           
  46.           Signature of
  47.           cardholder ______________________________________________________
  48.           
  49.           Phone (______)  ___________________  DISK  (  ) 5 1/4  (  ) 3 1/2
  50.           
  51.           
  52.           
  53.           ELECTRONIC MAIL ORDERS:  Send Card #, Exp. Date, Name & address.
  54.                      |
  55.                      |
  56.                      +------------------------+
  57.                      |                        |
  58.                      COMPUSERVE: 76576,470    THE SOURCE: BEK548