ORDER FORM Huntley Enterprises 2261 Market Street, #296 San Francisco, CA 94114-1693 Voice & Fax (415) 431-8179 Name________________________________________________________Date_________ Address________________________City_________________State______Zip_______ _________________________________________________________________________ # | Program | Price | Total | _______|________________________________|_______________|_______________| | | | | _______|________________________________|_______________|_______________| | | | | _______|________________________________|_______________|_______________| | | | | _______|________________________________|_______________|_______________| | | | | _______|________________________________|_______________|_______________| | | | | _______|________________________________|_______________|_______________| | | | | _______|________________________________|_______________|_______________| Sub Total $________________ 10% discount for previous purchase $________________ 10% discount for more than one computer $________________ California residents add 8.5% Sales tax $________________ Shipping: $2.00 US and Canada, $3.00 Foreign $________________ Total Enclosed $________________ ( ) Cash ( ) Check#______ ( ) Money order ( ) Visa ( ) MC ( ) Amex Credit card number_______________________________Expiration date_________ Social Security number____________Bank customer service ( )_____-______ Signature____________________________________Telephone# ( )_____-______ Computer___________________________________________( ) 16 bit ( ) 32 bit Monitor________________________________( ) 3 1/2" disks ( ) 5 1/4" disks Comments_________________________________________________________________ _________________________________________________________________________ If you pay by credit card, send a copy of your credit card and I.D. If you pay by check your order will be shipped in 10 working days.