home *** CD-ROM | disk | FTP | other *** search
/ Shareware Grab Bag / Shareware Grab Bag.iso / 012 / newkey43.arc / ORDER.FRM < prev    next >
Text File  |  1987-05-02  |  2KB  |  61 lines

  1.  
  2.  
  3.                                                                      Page 9
  4.           
  5.                                        ORDER FORM 
  6.           
  7.           FAB Software
  8.           P.O. Box 336
  9.           Wayland, MA 01778
  10.           ---------------------------------------------------------------
  11.                                                    PRICE       PRICE
  12.           PRODUCT                         QTY      EACH       EXTENDED
  13.           -----------------------------   ---      -----      -------- 
  14.           Newkey 4.0 (includes
  15.           printed users manual)           ___      $30.00     $_______
  16.           
  17.           
  18.           Newkey 4.0 Evaluation disk      ___      $10.00     $_______
  19.           
  20.           
  21.           Purchase Order (not prepaid)              $5.00     $
  22.                                                                -------
  23.           
  24.           Foreign Order Shipping & Handling(*)      $5.00     $
  25.           (does not include Canada)                            -------
  26.           
  27.           
  28.                                                   SUBTOTAL    $_______
  29.           
  30.           
  31.           Massachusetts state tax (5%)                        $
  32.                                                                -------
  33.           
  34.           
  35.                                                    TOTAL      $
  36.                                                                -------
  37.           
  38.           
  39.           Name: _________________________________Phone:________________
  40.           
  41.           Address:_____________________________________________________
  42.           
  43.           Address: ____________________________________________________ 
  44.           
  45.           City, State, Zip: ___________________________________________ 
  46.           
  47.           I understand that if I am not completely satisfied, I may return
  48.           Newkey within 30 days for a refund of the purchase price.
  49.           
  50.           * Foreign orders must be paid in US $ with a check drawn on a US 
  51.           bank or through the US branch of a foreign bank, or through an 
  52.           international money order.
  53.           
  54.           
  55.           
  56.           
  57.           
  58.           
  59.           
  60.           
  61.