|
Please
include your E-Mail Address! We cannot process your order without
it! Print out this form and fill in all sections of this form. Name,
Email, and Address are required.
|
Name: |
______________________________ |
|
Email: |
______________________________ |
|
Email
Sample: youraddr@yourdomain.com |
|
Address: |
______________________________ |
|
City: |
______________________________ |
|
State
& Zip: |
______________________________ |
|
Phone: |
______________________________ |
|
Payment: |
______________________________ |
|
(Cash/Check/Money
Order) US FUNDS! |
|
Delivery: |
(
Email or US Mail ) |
All
prices based on software key emailed - Add $5.00 for CDROM!
International
orders - Add $7.00 for CDROM
|
Product
Name |
#
of copies |
Unit
Price |
Total |
|
Cookbook
Wizard |
___________ |
X
$17.95 |
$ ___________ |
|
|
Subtotal |
$ ___________ |
Circle
Here If
you Desire Diskettes
|
S/H:
(E-mail $0, CDROM US Mail $5.00) S/H: |
$ ___________ |
|
NEW
JERSEY RESIDENTS ONLY! Tax (6%): |
$ ___________ |
|
Total: |
$ ___________ |
Thank
you,
MicroBlast
Software
P.O.
Box 15695
Brooksville,
FL 34604 USA
If
you are having difficulty printing the form, please contact the
order department at banyan@microblast.com
Email
addresses are kept confidential and never disclosed or sold. Email
address is required as part of the registration process. |
