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/ Suzy B Software 2 / Suzy B Software CD-ROM 2 (1994).iso / extras / textfile / steves03 / text / reviews / review18.txt < prev   
Text File  |  1995-04-27  |  5KB  |  112 lines
  1. ===============================================================================
  2.                              STeve's Atari SALES!
  3.                                 5 West Street
  4.                              Woodland, CA.  95695
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  6.  
  7. Customer Information:
  8. """""""""""""""""""""
  9.  
  10.     NAME       :___________________________________________________________
  11.  
  12.     ADDRESS    :___________________________________________________________
  13.  
  14.     TOWN/SUBURB:____________________________  STATE:____ POST CODE:________
  15.  
  16.     PHONES     :Home (_____)______________    Work (_____)_________________
  17.  
  18.     PHONES     :FAX  (_____)______________    BBS  (_____)_________________
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  20. -=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-
  21.  
  22. Billing Information:
  23. """"""""""""""""""""
  24.  
  25.  Enclosed is:  [_] Cash           [_] VISA           [_] Money Order
  26.                [_] Check          [_] MasterCard     [_] Discover (Coming Soon)
  27.  
  28. Credit                                                    Credit Card
  29. Card Number: [________]-[________]-[________]-[________]  Exp. Date:  ____/____
  30.  
  31.  
  32. SIGNATURE:______________________________________________  Date: ____/____/_____
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  35.  
  36. Order Information:
  37. """"""""""""""""""
  38.  
  39. Qty.     Item Description:                                Price:      Total:
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  61. (If in California, please add 7.25 Sales Tax)      Taxes:                      
  62. -------------------------------------------------------------------------------
  63. (FREE on Software orders over $100.00)  Shipping Charges:                      
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  65.                                                    Total:                      
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  67.                 
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  69.  
  70. Customer Request or Special Instructions:
  71. """""""""""""""""""""""""""""""""""""""""
  72.  
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  88.  
  89. Customers NOTE:  Just for our records, not mandatory, we just like to know
  90.                  what our customers have and what they WANT in the future.
  91.  
  92. -=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-
  93.  
  94. Computer Information:
  95. """""""""""""""""""""
  96.  
  97. Please tell us which Atari System(s) you own.
  98.  
  99. Video Game System(s):
  100.                      ----------------------------------------------------------
  101. 8-Bit Computer System(s):
  102.                          ------------------------------------------------------
  103. ST Computer System(s):
  104.                       ---------------------------------------------------------
  105. TT030 Computer System(s):
  106.                          ------------------------------------------------------
  107. Falcon 030 Computer System(s):
  108.                               -------------------------------------------------
  109.  
  110. [End..........]
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  112.