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Text File  |  1995-01-25  |  2KB  |  56 lines
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  6. 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 ΓÇö ΓÇö ΓÇö 
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  8. Product Order Form
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  10. From:                                                                                                                                                        Date:
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  12. _____________________________________                                                __________________
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  14. _____________________________________
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  16. _____________________________________
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  18. _____________________________________
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  21. To:     
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  23. True BASIC Inc.
  24. 12 Commerce Avenue, Suite 3
  25. West Lebanon NH  03784-1669  ΓÇó  800 436-2111  ΓÇó  24-Fax:  603 298-7015
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  27.     Order:    
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  29.     ____     QwikCONGRESSΓäó for Macintosh.       Item #: 79-015&Q.        @ 19.00 each :                   ________
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  31.     ____     QwikCONGRESSΓäó    update for registered users*.  #79-015&U:     @ 9.95 each:         ________
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  33.     ____     76-3x10 Labels.   50-sheet pack  (1500 labels).           @ 8.95 each :                                     ________
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  35. * Include Original Disk  Serial No.                                                                                                 Shipping:                 $5.00
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  37.                                                                                                                                                           Total Enclosed:            ________
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  41. Payment by: 
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  43.  [   ] Cash, check or money order;          [   ]Visa;    [   ] MasterCard;   [   ] Discover;   [   ] American Express
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  45.     Credit Card Number: ________  ________  ________  ________        Expiration Date: ________
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  47.     Signature: ____________________________
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  51. 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 ΓÇö ΓÇö ΓÇö 
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  53. Copies of  QwikCONGRESSΓäó are available at special bulk quantity prices for distribution or resale by political or public interest groups. Ask for our current list of Promotional Product Licensing Fees. 
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