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Text File  |  1991-08-27  |  3KB  |  54 lines
  1.  -----------------------------------------------------------------------------
  2.  |             FAX this order form to: (206)-525-1331, or mail to:           |
  3.  |                                CalcTech, Inc.                             |
  4.  |                                P.O. Box 15277                             |
  5.  |                           Seattle, WA.  98115-0277                        |
  6.  -----------------------------------------------------------------------------
  7.  
  8.                        BizWiz(tm) Order Form
  9.  -----------------------------------------------------------------------------
  10.  |     |                                                  |         |        |
  11.  | Qty | Description                                      |  Price  |  Total |
  12.  =============================================================================
  13.  |     | BizWiz(tm) Financial Calculator.  Single user    |         |        |
  14.  |     | license.  (includes "The HP-12C Pocket Guide")   |  $36.00 |        |
  15.  -----------------------------------------------------------------------------
  16.  |     | Additional copies of "HP-12C Pocket Guide" by    |         |        |
  17.  |     | Grapevine Publications. (ISBN 0-931011-12-4)     |   $6.00 |        |
  18.  -----------------------------------------------------------------------------
  19.  |     | "An Easy Course in Programming the HP-12C" by    |         |        |
  20.  |     |  Grapevine Publications. (ISBN 0-931011-08-6)    |  $22.00 |        |
  21.  -----------------------------------------------------------------------------
  22.  |                                               SHIPPING/HANDLING  |  $4.00 |
  23.  -----------------------------------------------------------------------------
  24.  |                  Washington state residents add 8.2%  sales tax  |        |
  25.  -----------------------------------------------------------------------------
  26.  |                  International AIR MAIL orders please add $5.00  |        |
  27.  -----------------------------------------------------------------------------
  28.                                                                     |        |
  29.                                                              TOTAL  |        |
  30.                                                                     |--------|
  31.  
  32.  
  33.      Name: _______________________________ Company:_________________________
  34.  
  35.      Phone: (Day) _______________________ (Evening) ________________________
  36.  
  37.      Address: ______________________________________________________________
  38.  
  39.      City: ______________________________  State: ________ Zip: ____________
  40.  
  41.      Comments: _____________________________________________________________
  42.  
  43.      _______________________________________________________________________
  44.  
  45.      _______________________________________________________________________
  46.  
  47.      (check one):      [ ] VISA     [ ] Mastercard     [ ] Check Enclosed
  48.  
  49.      Credit card #: _____________________________________ Expires: ____/____
  50.  
  51.      Cardholder's Name (Please print): _____________________________________
  52.  
  53.      Cardholder's Signature: _______________________________________________
  54.