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Text File  |  1994-04-22  |  2KB  |  65 lines
  1.                             ORDER FORM
  2.             
  3.              Mirage Graphical Data Analysis For Windows  Version 1.0
  4.  
  5.  
  6. Remit to:       Al Khan
  7.                 P.O. Box 646
  8.                 Flanders, NJ 07836
  9.  
  10. Your Name (Last, First): _____________________________________________
  11.  
  12. Company Name:            _____________________________________________
  13.  
  14. Address:                 _____________________________________________
  15.  
  16.                          _____________________________________________
  17.  
  18.                          _____________________________________________
  19.  
  20.  
  21. Version number of Mirage (displayed in About): ___________
  22.  
  23. Where did you obtain this version?:  _________________________________
  24.  
  25.  
  26. Quantity  Product                                Unit Price    Total
  27.                         
  28.                         
  29. _______  Mirage User's Manual only( no registration) $27      _______
  30.                         
  31. _______  User registration (includes User's Manual 
  32.          Version 1.0 plus 1 free update when available)  
  33.                                                     $42       _______
  34.                                                    
  35.                                                               _______ 
  36.                                                               
  37.         New Jersey residents   - sales tax           6%       _______
  38.  
  39.            Shipping and handling  - U.S.A.           $0       _______
  40.  
  41.                                   - Canada           $1 /unit _______
  42.  
  43.                                   - International    $3 /unit _______
  44.                                                                 
  45.                                                      Total:   _______
  46.  
  47. Notes:     All prices are in U.S. currency. Checks or money orders are
  48.            accepted only.
  49.  
  50.  
  51. Comments about current release and/or suggestions for future releases:
  52. (continue on another page if needed)
  53.  
  54. ______________________________________________________________________
  55.  
  56. ______________________________________________________________________
  57.  
  58. ______________________________________________________________________
  59.  
  60. ______________________________________________________________________
  61.  
  62. ______________________________________________________________________
  63.  
  64. ______________________________________________________________________
  65.