home *** CD-ROM | disk | FTP | other *** search
/ Zodiac Super OZ / MEDIADEPOT.ISO / FILES / 04 / SYMBOL63.ZIP / ORDER.FRM < prev    next >
Text File  |  1996-05-15  |  2KB  |  46 lines
  1.  
  2. Yes!  Please send me the latest, full sized version of Mathomatic
  3.       with hardcopy manual and prime number tools.  And make me a registered
  4.       user of Mathomatic.  Enclosed is a check or money order, drawn on a
  5.       U.S. bank, in U.S. dollars, payable to "George Gesslein II".
  6.  
  7.                               Your Shipping Address
  8. -------------------------------------------------------------------------------
  9.  
  10.                         Name: _________________________________________________
  11.  
  12. Company (if company address): _________________________________________________
  13.  
  14.                      Address: _________________________________________________
  15.  
  16.                  City, State: _________________________________________________
  17.  
  18.              Zip/Postal Code: _______________________
  19.  
  20.                      Country: _______________________
  21.  
  22.                 Phone Number: _______________________
  23.  
  24. -------------------------------------------------------------------------------
  25.  
  26. Number of copies: _______ X $49.95 = ___________________________
  27. New York residents add 8% sales tax: ___________________________
  28.  
  29.                      Total enclosed: ___________________________
  30.  
  31. -------------------------------------------------------------------------------
  32.  
  33. Check disk format desired:    ___5.25" High Density
  34.                               ___3.5"  Low Density
  35.  
  36. -------------------------------------------------------------------------------
  37. Send to:             George Gesslein II
  38.                      RD#2 118 Sharpsteen Road
  39.                      Locke, New York  13092
  40. -------------------------------------------------------------------------------
  41.  
  42. Where did you get the shareware version of Mathomatic?: _______________________
  43. Please enter your Internet address if you have one: ___________________________
  44.  
  45. Optional comments, suggestions, or questions:
  46.