MSR Development P.O. Box 632070 Nacogdoches, Texas 75963-2070 (409) 564-1862 Office (409) 560-5868 FAX (409) 560-5970 BBS ______________________________________________________________________ Order Sheet BackMaster for OS/2 2.1 (3.5" Disks) Scheduled Ship Date: 10/6/93 Order By: Name ___________________________________________________________ Company ___________________________________________________________ Address ___________________________________________________________ ___________________________________________________________ City ___________________________________________________________ State (Province)__________________________ Zip Code(USA)____________ Postal Code (Foreign)_____________________ (Check One Please) Voice Phone # ___________________________ (Home___ Office___) Other Phone # ___________________________ (Home___ Office___ FAX ___ BBS ___) Ship to (if different): Name ___________________________________________________________ Company ___________________________________________________________ Address ___________________________________________________________ ___________________________________________________________ City ___________________________________________________________ State (Province)__________________________ Zip Code(USA)____________ Postal Code (Foreign)_____________________ Payment Type: (check one please) Prepaid: ____ MasterCard/VISA Name on Card ____________________________ Account # _______________________________ Expires _____________ ____ Check/M.O. in Mail ____ C.O.D. (US only) (add $ 4.50 to UPS shipping charges) Ship via: UPS Ground ____ (UPS Blue _____ UPS Red _____) UPS Blue and Red charges are addtional. UPS CANNOT SHIP TO A P.O. BOX. Price: ______ Copies @ $ 49.95 U.S. each (thru 10/31/93) $ 79.95 U.S. each (after 10/31/93) ______ Taxes (TX residents add 8.25% - $ 4.12 per copy) ______ Shipping (U.S.(ground svc), $ 5.00, $ 9.50 if C.O.D.; Foreign, actual shipping charges) ______ Total Signature _____________________________________ Date ________________ (Required for Credit Card Purchases)