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Wilderness Medical Society - inord 1

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Wilderness Medical Society - inord 1
LETTERHEAD ORDER
Copyright 1995, The Corporate IMAGE
INSTRUCTIONS: Please fill out as completely as possible. If you have questions, please call The Corporate IMAGE at (317) 882-8019.
SHIPPING INFORMATION
AGENCY INFORMATION
Agency Reference Number
Operating System (DOS, Win3.x, W95, NT...) / Version
Network or LAN (LAN Manager, Novell, NT etc...)
Word Processing Software (Word, WordPerfect, WPS-Plus, etc...) / Version
Agency Name
Computer Type (386sx25, 486dx4/100, Pentium, Alpha...)
Ship to: Name, Title
Agency Name
Division Name
Vendor Number
Federal I.D. Number
Address
Telephone
Address line 1
Address line 3
City State Zip
(Please call for information)
(If desired, select and, fill in below)
Name
Direct Phone
Title
Agency Phone / FAX
WORD for WINDOWS V6.0 Document Template
WORDPERFECT GRAPHIC format (.WPG)
WINDOWS Metafile (.WMF)
OTHER _____________
TK50 Tape Cartridge (OpenVMS VAX or AXP)
9-Track Tape (OpenVMS VAX or AXP)
3.5" Diskette (DOS, Windows 3.x, WNT, W95)
5.25" Diskette (DOS, Windows 3.x, WNT, W95)
TRADITIONAL Style
STATE OUTLINE Style
OMIT Governor Name
INCLUDE Director Information
Address line 2
Address
(Number, Street)
Date
(Month, Day, Year)
City, State and ZIP Code
Contact Person and Telephone
How will you use your letterhead? SELECT ONE...
On what type of media should we ship your letterhead? SELECT ONE...
GRAPHIC FORMAT
MEDIA FORMAT
Fill this in for ALL Letterheads
pick your choice of style ... SELECT ONE
tell us how your agency uses computers ...
LETTERHEAD CONTENT
LETTERHEAD STYLE
COMPUTING ENVIRONMENT
2. ATTACH AGENCY CHECK FOR: $125
3. Mail to us at the address at right
1. Fill in all items above.
4. Expect custom results in 7-10 business days.
The Corporate IMAGE
4084 Easy Street
141-40-3295
12792
(317) 882-8019
Greenwood IN 46142-8305
Director / Manager Letterheads
VENDOR Information





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