Ultimate PC Repair Order Form

Send Payments To:

SOFTSALE SOFTWARE
5550 PICKERING CT.
COLORADO SPRING, CO 80911

Please Make Check Payable To:Otis F. Cooper

 

YOUR NAME:            ________________________________
ADDRESS:                  ________________________________
ADDRESS LINE 2:     ________________________________
CITY: ____________________ STATE:_______ ZIP:_______

PHONE #: (____)_____________________________________
E-MAIL ADDRESS: __________________________________

OPERATING SYSTEM:WINDOWS

WIN98______ WIN ME ______ WINXP______ WIN VISTA ______

MAKE AND MODEL OF
PC:______________________________________

MAKE AND MODEL OF
MONITOR:________________________________

MAKE AND MODEL OF
PRINTER:_________________________________

PROGRAM(S) ORDERED:
PC REPAIR,CDROMS $29.95_______ PC REPAIR 3 DVD $29.95______
PC MOTHERBOARDS $12.95_______PC TEST $17.50______
PC PERIPHERALS $12.95______ SYSTEM UNIT $12.95____
PC REPAIR 5.0 SUPER PACK $65.95________PC DRIVES $12.95_____
PC SUPER PACK SUPER BOWL SPECIAL $62.95________

NOTHING BUT TROUBLE $12.95

PC REPAIR 5 DVDS $49.95______