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/ Simtel MSDOS 1992 December / simtel1292_SIMTEL_1292_Walnut_Creek.iso / msdos / telix / qmm302.arc / ORDER.FRM < prev    next >
Text File  |  1990-01-24  |  2KB  |  51 lines
  1.                                   ORDER FORM
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  5.       Remit to: Jack Mlynek, 2181 Adair Cr., Oakville, Ontario L6J 5J6
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  7.       
  8.       Quan       Item                            Price           Ext
  9.       
  10.       ___  QMM 3.02 Registration(s)...........   @ $30 ea      $________
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  13.                        Cheques or money orders accepted.
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  17.       Payment by:  ( ) Cheque or money order  ( ) PO # _______________
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  19.           Name_______________________________________________________
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  21.        Company_______________________________________________________
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  23.        Address_______________________________________________________
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  25.               _______________________________________________________
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  27.          Phone(______)_________________  Bus.(______)________________
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  29.       Where did you obtain QMM?
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  31.               _______________________________________________________
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  33.       Comments_______________________________________________________
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