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Text File  |  1999-02-08  |  2.0 KB  |  55 lines
  1. Software Registration Form                                 Invoice
  2. ____________________________________________________________________
  3. To:  Accounts Payable
  4.  
  5. Please pay the following invoice.  Make the check payable to ‚ÄúJohn V. Holder‚Äù and send to the address listed below.
  6.  
  7. You must include a copy of this invoice with your payment.
  8.  
  9. Invoice Approved: ________________________________
  10.  
  11. Name:
  12. [1]
  13. [2]
  14. [3]
  15. Phone/FAX:   [4]       [5]
  16.  
  17. Email:   [6]
  18.  
  19. Comments:   [7]  
  20.  
  21. Payment Method:   [8][9][10][11]
  22.  
  23. Products Ordered:
  24. ([12]) PopAddress 1.0 ($20 each).................:   [13]
  25. ([14]) EZNote 1.3 ($20 each)........................:   [15]
  26. ([16]) ScrapIt Pro 5.44 ($20 each)..............:   [17]
  27. ([18]) QuickScrap 1.1 ($15 each).................:   [19]
  28. ([20]) ScrapIt Pro & QuickScrap ($30 each):   [21]
  29. ([22]) QuickPop ($10 each)...........................:   [23]
  30. ([24]) ViewFont ($5 each)..............................:   [25]
  31. ([26]) ColorFall ($10 each)...........................:   [27]
  32. ([28]) Escape! ($10 each)..............................:   [29]
  33. ([30]) SideMinder ($10 each)........................:   [31]
  34.  
  35. Quantity Discount...........:   [32]
  36. Send Latest?...(adds $5):   [33]
  37. Disk Size (800k or HD):   [34]
  38. Sales Tax (CA Only).......:   [35]
  39. Note: Sales Tax is only collected if you've requested a disk and you live in California
  40.  
  41. Total Due.........................:   [36]
  42.  
  43. [37]
  44. ____________________________________________________________________
  45. Print this form and send your check (made payable to ‚ÄúJohn V. Holder‚Äù) to:
  46.  
  47. John V. Holder                                                           Email addresses (AOL is preferred):
  48. 1734 "S" Street                                                        America Online:  JohnHolder@aol.com
  49. Eureka, CA  95501                                                   Internet...........:  jvholder@northcoast.com
  50. USA
  51.  
  52. FAX:  (707) 443-3813
  53.  
  54. Home Page:   http://www.northcoast.com/~jvholder
  55. (check for the latest new releases and updates!)