SMEDLEY'S SOFTWARE HOUSE ORDER FORM __________________________________________________________________ INSTRUCTIONS: Please use this order form to register your copy of Smedley's General Purpose Calculator. You may either print it and then fill it out, or edit it first and then print it. We are also genuinely interested in any comments you may have concerning this product. Particularly with regard to features that you would like to see modified or changed and, most importantly, any new features that you would like to see incorporated in future releases. Please take a few additional minutes to provide us with any such comments as you may have in this regard. You may use the back of this form or a separate sheet of paper for this purpose. Thank you! _________________________________________________________________ | | | | | | Qty | Description | Price | Total | |-----|-----------------------------------------|--------|--------| | | Smedley's General Purpose Scientific | | | | | Calculator -- Version 1.0 | $30.00 | | |-----|-----------------------------------------|--------|--------| | N/A | International AIR MAIL orders add: | $5.00 | | |_____|_________________________________________|________|________| | | DISKETTE SIZE: [ ] 5 1/4" or [ ] 3 1/2" TOTAL | | |________| Please do not send cash! Make your check or money order for the above total payable to: Smedley's Software House 132 N. El Camino Real, # 327 Encinitas, CA 92024 Please allow (1--3) weeks for delivery. __________________________________________________________________ REGISTRATION INFORMATION: (Leave items blank that do not apply) Your Name: ----------------------------------------------- Your Title: ----------------------------------------------- Company Name: ----------------------------------------------- Company Mail Code: ----------------------------------------------- Street Address: ----------------------------------------------- City: State: Zip: ---------------------------- ---- ------------- Country: ------------------------- Phone: (Home) (Work) -------------------- -----------------------