home *** CD-ROM | disk | FTP | other *** search
/ Gold Medal Software 3 / Gold Medal Software - Volume 3 (Gold Medal) (1994).iso / music / djmate.arj / ORDER.FRM < prev   
Text File  |  1994-04-02  |  2KB  |  53 lines

  1.                                       ORDER FORM
  2.  
  3.  
  4.           Name:    ________________________________________________________
  5.  
  6.           Address: ________________________________________________________
  7.  
  8.                    ________________________________________________________
  9.  
  10.           City:    ________________________  State: ______ Zip ____________
  11.  
  12.  
  13.                      Daytime Phone: (_____) _______-____________
  14.  
  15.                      Evening Phone: (_____) _______-____________
  16.  
  17.                      FAX Number   : (_____) _______-____________
  18.  
  19.  
  20.                      DJMate          # of copies  ____  X  $200 : $________
  21.  
  22.                         N.Y. State Residents add 8.25% Sales Tax: $________
  23.  
  24.                                                   Total Enclosed: $________
  25.  
  26.               Please write disk size:    ____ 3.5" disk  ____ 5.25" disk
  27.  
  28.           PRODIGY ID#: _______________   Compuserve ID#: __________________
  29.           
  30.           AMERICAN ONLINE ID#:___________ Internet ID#:____________________
  31.  
  32.           Where did you hear about DJMate? ________________________________
  33.  
  34.           _________________________________________________________________
  35.                                                                            
  36.           _________________________________________________________________
  37.   
  38.                                       Comments:
  39.  
  40.           _________________________________________________________________
  41.  
  42.           _________________________________________________________________
  43.  
  44.           Please send your check or money order [do not send cash] made out
  45.                   to "Entertainment Supply Company", addressed to:
  46.  
  47.                             Entertainment Supply Company
  48.                             1744 Bath Avenue
  49.                             Brooklyn, New York 11214
  50.  
  51.                               or call 718-232-3222
  52. djupl
  53.