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/ Sunny 1,000 Collection / SUNNY1000.iso / Files / W31 / Edu / MATHCA22.ZIP / ORDERFRM.TX_ / ORDERFRM.TX
Text File  |  1995-10-16  |  2KB  |  42 lines
  1. ________________________________________________________________________
  2.                 Math Cards Version 2.2 ORDER FORM 
  3. ________________________________________________________________________
  4.  
  5. Name (Please Print) ____________________________________________________
  6. Address ________________________________________________________________
  7. City _______________________ State/Province __________ ZIP _____________
  8. Country (if not USA) __________________ Phone/Fax ______________________
  9.  
  10. DISK SIZE:  [ ] 3.5"  
  11.  
  12. Number of Copies:
  13. [ ] Math Cards                             $15.00 per copy  (US Dollars) 
  14.                                                  (Shipping FREE in U.S.)
  15.  
  16. CHARGES:      
  17. [ ] USA: FREE
  18. [ ] Other countries: $5/copy |Shipping and Handling charges:  $_________
  19.                              |# of Copies x $15.00           +$_________ 
  20.                              |              Amount enclosed: =$_________
  21.  
  22. Mail to:  Brian Snyder
  23.           1235 Hall St. S.E.
  24.           Lacey, WA  98503
  25.  
  26. Make checks payable to "Brian Snyder". Allow four to six weeks 
  27. for delivery.
  28.  
  29. Where did you get Math Cards?
  30.  
  31. Downloaded from:
  32. [ ]        BBS: Name & Number: _________________________________________
  33. [ ]        Compuserve (CIS): Forum Name: _______________________________
  34. [ ]        America Online (AOL)
  35. [ ]        Delphi: Special Interest Group (SIG) Name: __________________
  36. [ ]        Internet FTP Site: Site Name: _______________________________
  37. [ ]        World Wide Web: URL Name: ___________________________________
  38. [ ]        Microsoft Network: __________________________________________
  39. Other:
  40. [ ]        A friend gave it to me
  41. [ ]        None of the above
  42. [ ]        Unknown