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Text File  |  1995-11-04  |  2KB  |  57 lines
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  5. ΓÇö ΓÇö ΓÇö ΓÇö ΓÇö ΓÇö ΓÇö ΓÇö ΓÇö ΓÇö ΓÇö ΓÇö ΓÇö ΓÇö ΓÇö ΓÇö ΓÇö ΓÇö ΓÇö ΓÇö ΓÇö ΓÇö ΓÇö ΓÇö ΓÇö ΓÇö ΓÇö ΓÇö 
  6.  
  7. Product Order Form
  8.  
  9. From:                                                                                                                                             Date:
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  11. ________________________________________                                                _____________________
  12.  
  13. ________________________________________
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  15. ________________________________________
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  17. To:     
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  19. True BASIC Inc.
  20. 12 Commerce Avenue, Suite 3, West Lebanon NH 03784-1669
  21. 24-Hr. Fax: 603 298-7015   ΓÇó  800 436-2111  ΓÇó  e-mail: sales@truebasic.com
  22.  
  23.     Order:    
  24.  
  25.     ____     QwikRAFFLEΓäó for Macintosh.       Item #: 79-008&Q.        @ 29.00 each :          _______
  26.  
  27.     ____     #76-011 Perfed paper for raffle tickets.  100-sheet pack      @ 6.00 each :     _______
  28.  
  29.  
  30.     ____     #76-012 Perfed paper for raffle tickets.  500-sheet pack      @ 24.00 each :  _______
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  32.  
  33.     ____     #76-3x10 Labels.   50-sheet pack (1500 labels).        @ 8.95 each :                    _______
  34.  
  35.     ____     #76-3x10 Labels.   250-sheet pack (7500 labels).        @ 35.95 each :              _______
  36.  
  37.     ____     #76-2x5 Labels.   50-sheet pack (1500 labels).        @ 8.95 each :                          _______
  38.  
  39.     ____     #76-2x5 Labels.   250-sheet pack (7500 labels).        @ 35.95 each :                    _______
  40.  
  41.     ____     ZipZAPPΓäó for Macintosh.       Item #: 53-MAC&Q.        @ 29.00 each :                     _______
  42.  
  43.     ____     QwikCONGRESSΓäó for Macintosh.       Item #: 79-015&Q.@ 19.00 each :         _______
  44.  
  45.                                                                                                                                                        Shipping:               $5.00
  46.  
  47.                                                                                                                                          Total Enclosed:       $   _______
  48.  
  49. Payment by: 
  50.  
  51.  [   ] Cash, check or money order;    [   ] Visa;    [   ] MasterCard;   [   ] Discover;   [   ] AMEX
  52.  
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  54.     Credit Card Number: ________  ________  ________  ________        Expiration Date: ______
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  56.     Signature: ____________________________
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