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Text File  |  1995-09-14  |  2KB  |  88 lines
  1.  
  2.  
  3.   *********       Windows Developer's Book Order Form        *********
  4.   *********                                                  *********
  5.  
  6.   Please FAX this form to 913 841-2624 or email it to rdorders@rdpub.com
  7.  
  8.   or photocopy it and mail it along with payment to
  9.  
  10.     Miller Freeman, Inc.             You can call
  11.     1601 W 23rd Suite 200            913 841-1631 
  12.     Lawrence, KS  66046              for special shipping!
  13.  
  14.          All orders must be prepaid in US dollars by check, money order 
  15.          or credit card -- Master Card and VISA are accepted
  16.  
  17.  
  18. Name:
  19.  
  20. Company:
  21.  
  22. Address:
  23.  
  24.  
  25. City:
  26.  
  27. State:
  28.  
  29. Zip Code:
  30.  
  31. Country:                          Mail Code:
  32.  
  33. Daytime Phone:
  34.   (in case of questions)
  35.  
  36. For credit card payment check one: ___Master Card  ___Visa
  37.  
  38. Card #:
  39.  
  40. Signature on Card:
  41.  
  42. Expiration Date:
  43.  
  44.                   Please Send the Following Items:
  45.       (users should duplicate the items part of this form as often as needed)
  46.  
  47. Book title:                                       
  48.  
  49. Book author:                           
  50.  
  51. Product Code (if known):                         
  52.  
  53. Publisher:                                         
  54.  
  55. price:          quantity:          item subtotal: $
  56. *******************************************
  57. Book title:                                 
  58.  
  59. Book author:                           
  60.  
  61. Product Code (if known):          
  62.  
  63. Publisher:                 
  64.  
  65. price:          quantity:          item subtotal: $
  66. *******************************************
  67. Book title:
  68.  
  69. Book author:                           
  70.  
  71. Product Code (if known):
  72.  
  73. Publisher:
  74.  
  75. price:          quantity:          item subtotal: $
  76. ********************************************
  77.                                  all items total: $
  78.     Overseas Shipping add 45%                   = $
  79.     Canadian customers must add 7% GST          = $
  80. Standard shipping & handling charges all orders = $   3.50
  81.                                                  _________
  82.                              Grand Total          $       
  83.  
  84. Miller Freeman, Inc. Federal Tax ID#  48-0912058
  85. Miller Freeman, Inc. Canadian GST# 129065819
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