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Text File  |  1990-04-14  |  2KB  |  61 lines
  1.  
  2.  
  3.  
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  5.  
  6.           
  7.                                      ORDER FORM
  8.           
  9.           
  10.                                 Specialty Microware
  11.                                     P.O. Box 194
  12.                                   Alvin, TX 77512
  13.           
  14.           
  15.           
  16.           
  17.           Item                     Quantity        Price       Extension
  18.           ---------------------------------------------------------------
  19.           
  20.           Registered personalized   _____         $29.00      $__________
  21.           copy of ECB
  22.            (including User's Guide
  23.             & technical support)
  24.           
  25.           Unregistered ECB diskette _____         $10.00      $__________
  26.           
  27.           
  28.           CHECK DISK SIZE: 
  29.                                                   Subtotal    $__________
  30.           [  ]  5 1/4"
  31.                                           7.50% Sales Tax     $__________
  32.           [  ]  3 1/2"                    (Texas residents)
  33.           
  34.                                         Shipping & Handling   $      3.00
  35.                                                               ___________
  36.           
  37.                                                       Total   $__________
  38.           
  39.           Please make checks payable to:  Specialty Microware.
  40.           
  41.           Registrant Name________________________________________________
  42.                                 (as it will appear in the program)
  43.           
  44.           Address________________________________________________________
  45.           
  46.           City_______________________________State___________Zip_________
  47.           
  48.           Phone (______)_____________________________
  49.           
  50.           
  51.           Ship to: ______________________________________________________
  52.           
  53.                    ______________________________________________________
  54.           
  55.                    ______________________________________________________
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