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Text File  |  1992-02-15  |  3KB  |  59 lines
  1.  
  2.  
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  5.                            TRIVIAL MATTERS ORDER FORM
  6.           -------------------------------------------------------------
  7.  
  8.  
  9.            Name: ____________________________________________________
  10.  
  11.            Address: _________________________________________________
  12.  
  13.            City: _________________  State: ___________  Zip: ________
  14.  
  15.  
  16.  
  17.                                           Disk    Qty.   Cost    Total
  18.                                           Size           Each
  19.                                         --------------------------------
  20.          Rock 'N' Roll Trivial Matters  | 5.25 |       | 19.50 |       |
  21.                                         |------|-------|-------|-------|
  22.                                         | 3.5  |       | 19.50 |       |
  23.                                         --------------------------------
  24.                                         --------------------------------
  25.          Baseball Trivial Matters       | 5.25 |       | 19.50 |       |
  26.                                         |------|-------|-------|-------|
  27.                                         | 3.5  |       | 19.50 |       |
  28.                                         --------------------------------
  29.                                         --------------------------------
  30.          Trivia Game Toolkit            | 5.25 |       | 49.50 |       |
  31.                                         |------|-------|-------|-------|
  32.                                         | 3.5  |       | 49.50 |       |
  33.                                         --------------------------------
  34.                                                                ---------
  35.                                                      Subtotal  |       |
  36.                                                                |-------|
  37.                                           Shipping & Handling  |  2.50 |
  38.                                                                |-------|
  39.                                    WI res. add 5.5% sales tax  |       |
  40.                                                                |-------|
  41.                                                         TOTAL  |       |
  42.          -------------------------------------------           ---------
  43.          | Method of Payment:                      |
  44.          |    ___ Check or Money Order             |
  45.          |    ___ VISA    ___ MasterCard           |
  46.          |                                         |
  47.          | Account Number:  ______________________ |
  48.          |                                         |
  49.          | Expiration Date: ______________________ |
  50.          |                                         |
  51.          | Signature:  ___________________________ |
  52.          -------------------------------------------
  53.  
  54.  
  55.                    Send completed form along with payment to:
  56.  
  57.                             Software Creations, Inc.
  58.                         P.O. Box 395, Big Bend, WI 53103
  59.