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/ Simtel MSDOS 1992 June / SIMTEL_0692.cdr / msdos / menu / ezmenu2.arc / INVOICE.TXT < prev    next >
Text File  |  1988-02-02  |  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.  
  15.           ____ EasyMenu (TM) - Complete ............ @ $ 49.95 ea  $ ______
  16.  
  17.  
  18.                           BIG BLUE DISK READERS ONLY
  19.  
  20.           ____ EasyMenu (TM) - Complete ............ @ $ 39.95 ea  $ ______
  21.  
  22.  
  23.  
  24.  
  25.                                                              Subtotal______
  26.  
  27.       (Ohio residents add 6.0% sales tax + $ 2.40 each)           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