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CARD.FRM
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1996-06-13
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3KB
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56 lines
-------------- CMFiler CREDIT CARD ORDER FORM (v.6.03) ---------------
Complete this form and mail to: PsL
PO Box 35705
Houston, TX 77235-5705
__ Or fax to: 713-524-6398
| |
Send |__| copies of CMFiler, PsL Part# 10657, at a total price of
____
| |
$ |____| ($30 for first copy, $15 each additional copy).
Send on (check one): 3.5" [ ] 5.25" [ ] diskettes.
Send to:
Name:___________________________________________ Date:________________
Street:_______________________________________________________________
City:____________________________________ State:______________________
ZIP:_____________________ Country:____________________________________
+--------------------------------------------------------------------+
| PsL accepts MC, Visa, AmEx and Discover cards. Please make sure |
| name is entered _EXACTLY_ as it is appears on the card. |
| |
| Master [ ] Visa [ ] AmEx [ ] Discover [ ] |
| |
| Account number:___________________________ Expires:______________ |
| |
| Name as it appears on card:______________________________________ |
| |
| Signature:_______________________________________________________ |
| |
| Billing Address: (Check if same as mailing address [ ]) |
| |
| Street:__________________________________________________________ |
| |
| City:__________________________________ State:___________________ |
| |
| ZIP:___________________ Country:_________________________________ |
| |
+--------------------------------------------------------------------+
Alternatively, you may Email your order by CompuServe to PsL at
71355,470 (71355.470@compuserve.com on INTERNET), or telephone your
order to PsL by dialing 800-2424-PSL or 713-524-6394 and asking for
CMFiler, Part# 10657.
These number are for taking credit card orders ONLY. PLEASE DO
NOT REQUEST TECHNICAL ASSISTANCE OR ORDER STATUS FROM THESE NUMBERS.
Direct any such inquiriess to NoVaSoft at 703-221-1833 or 703-221-1471,
CompuServe 72130,1400 or INTERNET 72130.1400@compuserve.com.