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Text File  |  1992-10-14  |  1.8 KB  |  61 lines
  1.  
  2. REMIT TO:  
  3.  
  4. Grin Graphics
  5. Route 8, Box 129
  6. Jacksonville, TX  75766
  7.  
  8. Voice Phone 903/586-6150  Bulletin Board 903/589-0042
  9.  
  10. Place an X or fill in appropriate spaces................
  11.  
  12.  
  13.  __ REGISTER GRIN GRAPHICS VOLUME #2 $15.00 +$2.00 S/H = $17.00 
  14.  __ ORDER GRIN GRAPHICS VOLUME #2 SET $18.00 + $2.00 S/H = $20.00
  15.  __ ORDER GRIN GRAPHICS VOLUME #1 SET $18.00 + $2.00 S/H = $20.00
  16.  
  17.  
  18.                -={PLEASE NOTE: U.S. FUNDS ONLY}=-
  19.  
  20.  
  21. Please send my diskettes to:  
  22.  
  23. Name:___________________________________________________
  24.                         
  25. Address:________________________________________________
  26.                                                 
  27. City:___________________________________________________
  28.                              
  29. State:_________ Zipcode:________________________________
  30.                               
  31. Phone:(not required for cash orders)____________________ 
  32.  
  33. From where did you receive Grin Graphics Software?_____________
  34. _______________________________________________________________
  35.  
  36. If ordering via credit card: Voice, Bulletin Board, or this form.
  37.  
  38.  
  39. Type Card? (Visa, Mastercard)____________________________________
  40.  
  41. Name as it appears on card.______________________________________
  42.  
  43. Card Number: ____________________________________________________
  44.  
  45. Expiration Date:_________________________________________________
  46.  
  47. Name of Bank authorizing your card:______________________________
  48.  
  49. Phone:(required for credit card orders:__________________________
  50.  
  51. Hours you can be reached at this number:_________________________
  52.  
  53. Comments;________________________________________________________ 
  54.  
  55.          ________________________________________________________
  56.  
  57.          ________________________________________________________
  58.  
  59.          ________________________________________________________
  60.   
  61.