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Text File  |  1994-12-28  |  2KB  |  62 lines
  1.                  Sensor Based System Inc. DeeP Order Form
  2.                            jackv56036@AOL.com
  3.                         75454.773@COMPUSERVE.COM
  4.                              (206) 827-8794
  5.  
  6. Name    ______________________________________________________________
  7. Address ______________________________________________________________
  8.         ______________________________________________________________
  9. City    _________________________ State __________ ZIP _______________
  10. Country _________________________ Phone/Fax __________________________
  11.  
  12.         E-Mail Address _______________________________________________
  13.  
  14.           [ ] DeeP and DeePbsp (3.5"  Disk)         $17.00 (US Dollars)
  15.           [ ] DeeP and DeePbsp (5.25" Disk)         $17.00
  16.  
  17.               Shipping Charges:
  18.           [ ] USA: included in price
  19.           [ ] All other countries: $6.00
  20.  
  21.  
  22.                                 TOTALS
  23.  
  24.                    ___ Copies of DeeP $____________
  25.       Shipping and Handling charges : $____________
  26.       WA State Sales Tax (8.2%)     : $____________
  27.                     Amount enclosed : $____________
  28.  
  29.         (WA residents must include state sales tax)
  30.  
  31.  
  32.           Mail to:  Sensor Based Systems, Inc.
  33.                     17010 NE 190th ST
  34.                     Woodinville, WA 98072
  35.  
  36.          Make checks payable to "Sensor Based Systems Inc".
  37.          Allow one-three weeks for delivery.
  38.  
  39.  
  40. ========= Where did you get DeeP from? =============================
  41.  
  42. Downloaded from:
  43. [ ]        BBS: Name: ________________________________________________
  44. [ ]        Compuserve
  45. [ ]        America Online (AOL)
  46. [ ]        Genie 
  47. [ ]        Delphi
  48. [ ]        Internet FTP Site Name: ___________________________________
  49.  
  50. Purchased from:
  51. [ ]        Catalog Vendor Name: ______________________________________
  52. [ ]        Retail  Vendor Name: ______________________________________
  53. [ ]        Ordered it from us
  54.  
  55. Other:
  56. [ ]        A friend gave it to me
  57. [ ]        None of the above
  58. [ ]        Unknown
  59.  
  60.  
  61.  
  62.