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Text File  |  1994-04-05  |  3KB  |  37 lines
  1. ┌────────────────────────────────────────────────────────────────────────────┐
  2. │╔══════════════════════════════════════════════════════════════════════════╗│
  3. │║                 Turbo Vision CyberTools 1.1 Order Form                   ║│
  4. │╚══════════════════════════════════════════════════════════════════════════╝│
  5. │ ┌─────────┐                      ┌──────────┐                              │
  6. │ │Last Name│                      │First Name│                              │
  7. │ └─────────┴────────────────────  └──────────┴────────────────────          │
  8. │ ┌─────────┐                                                                │
  9. │ │Company  │                                                                │
  10. │ └─────────┴────────────────────                                            │
  11. │ ┌─────────┐                     ┌────┐             ┌─────┐     ┌───┐       │
  12. │ │Address  ├──────────────────── │City│             │State│     │Zip│       │
  13. │ └─────────┴──────────────────── └────┴──────────── └─────┴──── └───┴────── │
  14. │ ┌─────────┐                     ┌─────┐                                    │
  15. │ │Country  │                     │Phone│                                    │
  16. │ └─────────┴──────────────────── └─────┴───────────                         │
  17. ├────────────────────────────────────────────────────────────────────────────┤
  18. │ ┌─────────┐                                                                │
  19. │ │Check    │ ┌─┐             ┌─┐             ┌─┐            ┌─┐             │
  20. │ │Disk Size│ └─┘ 5.25" 360K  └─┘ 5.25" 1.2M  └─┘ 3.5" 720K  └─┘ 3.5" 1.44M  │
  21. │ └─────────┘                                                                │
  22. │                                                                            │
  23. │╔══════════════════════════════════════════════════════════════════════════╗│
  24. │║ Enclose cash, check, money order or international money order for        ║│
  25. │║ $25.00 plus $3.00 shipping ($5.00 outside US and Canada) in US funds     ║│
  26. │║ payable to:                                                              ║│
  27. │║                                                                          ║│
  28. │║ Steve Goldsmith                                                          ║│
  29. │║ 2805 Jamaica Street                                                      ║│
  30. │║ Sarasota, FL 34231                                                       ║│
  31. │║ USA                                                                      ║│
  32. │║                                                                          ║│
  33. │║ GEnie E-mail S.GOLDSMITH2, Internet S.GOLDSMITH2@GENIE.GEIS.COM          ║│
  34. │║ Phone (813) 925-1064                                                     ║│
  35. │╚══════════════════════════════════════════════════════════════════════════╝│
  36. └────────────────────────────────────────────────────────────────────────────┘
  37.