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Eigen PC: CD-ROM 39
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dicey
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ORDER.FRM
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2000-02-21
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55 lines
Grund Software Services
P.O. Box 4503
Overland Park, KS 66204-0503
Shareware Registration/Product Order Form
Please check the items you wish to order. Insert the price if
you want the product to be mailed to you via U. S. Mail.
╔═════╤═════════════════════════════════════════════════╤════════╗
║ √ │ Product Name │ Price ║
╟─────┼─────────────────────────────────────────────────┼────────╢
║ │ Dicey, Version 1 │ $12.00 ║
╟─────┼─────────────────────────────────────────────────┼────────╢
║ │ Add $3.00 for CD │ ║
╟─────┼─────────────────────────────────────────────────┼────────╢
║ │ Add $2.00 for 3½ diskette │ ║
╟─────┼─────────────────────────────────────────────────┼────────╢
║ │ Total remitted │ ║
╚═════╧═════════════════════════════════════════════════╧════════╝
Please send check or money order (cash at your own risk), please.
Credit cards are not accepted at this time.
Upon receipt and clearance of the payment, I will send the registered
version to you, via your choice of methods.
If you want the products e-mailed to you, please include that e-mail
address below:
╔══════════════════════════════════════════════════════════════╗
║ ║
║ ║
╚══════════════════════════════════════════════════════════════╝
This e-mail address will be used for distribution of registered
products, updated versions, and notifications of new products. It will
NOT be released to anyone outside this organization.
If you want the products mailed via U.S. mail, please include the
shipping address below:
┌───────────────────────────────────────────────────────────────────────┐
│ │
│ │
├───────────────────────────────────────────────────────────────────────┤
│ │
│ │
├───────────────────────────────────────────────────────────────────────┤
│ │
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├───────────────────────────────────────────────────────────────────────┤
│ │
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└───────────────────────────────────────────────────────────────────────┘
We thank you for your registration and your patronage.