BibleSoft Co. PHONE # {208} 454-2914 Box 308 Greenleaf Idaho 83626 DATE________________________ SIZE DISK NEEDED 5 1/4 360K DD ____________ 5 1/4 1.2 MEG HD ____________ _________________________________________________________________ ____________ |QUANITY DISK # DESCRIPTION PRICE TOTAL | |________________________________________________________________ ____________| | | | | | | |_________|__________|____________________________________|______ _|__________| | | | | | | |_________|__________|____________________________________|______ _|__________| | | | | | | |_________|__________|____________________________________|______ _|__________| | | | | | | |_________|__________|____________________________________|______ _|__________| | | | | | | |_________|__________|____________________________________|______ _|__________| | | | | | | |_________|__________|____________________________________|______ _|__________| | | | | | | |_________|__________|____________________________________|______ _|__________| | | | | | | |_________|__________|____________________________________|______ _|__________| | | | | | | |_________|__________|____________________________________|______ _|__________| | | | | | | |_________|__________|____________________________________|______ _|__________| | | | | CARD # ________________________________________EXP.DATE ________|__________| | | | |________________________________________________________________ _|__________| | | | IF COD NEED PHONE #_______________________ | SUB TOTAL | | |_______________|__________| _________________________________________ | Idaho sales | | SIGNATURE | only add | | | 5% tax | | __________________________________________ |_______________|__________| NAME | SHIPPING 10% | | | UP TO 50.00 | | __________________________________________ | THEN ONLY 5% | | ADDRESS |_______________|__________| | C.O.D. ADD | | | $3.00 | | __________________________________________ |_______________|__________| CITY STATE | | | | TOTAL | | ____________________ |_______________|__________| ZIP CODE  ~~~~~~