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Text File  |  1993-09-01  |  2KB  |  63 lines
  1. Mail to:
  2.                Advanced Personal Systems
  3.                105 Serra Way
  4.                Suite 418
  5.                Milpitas, CA. 95035
  6.  
  7.                Attn: Paul Griffith
  8.  
  9.                                O R D E R   F O R M
  10.  
  11.   ---------------------------------------------------------------------------
  12.  
  13.                           Name __________________________________
  14.  
  15.                        Company __________________________________
  16.  
  17.                        Street  __________________________________
  18.  
  19.       City, State, Zip/Country __________________________________
  20.  
  21.                                __________________________________
  22.  
  23.                    Todays Date ______________ Version ___________
  24.  
  25.  
  26.      Registration Fee for SysChk    $20.00 ...........___________
  27.  
  28.  
  29.      California State Sales Tax      $1.65 ...........___________
  30.  
  31.  
  32.      Additional Shipping outside     $3.00 ...........___________
  33.      of United States and Canada
  34.      (We airmail all foreign shipments)
  35.  
  36.  
  37.      TOTAL............................................___________
  38.  
  39.  
  40.  
  41.      We normally ship 5.25" diskettes.  Check here if you
  42.      need SysChk on a 3.5" diskette......................________
  43.  
  44.  
  45.      Where did you learn of SysChk? _____________________________
  46.  
  47.  
  48.      Comments / Suggestions _____________________________________
  49.  
  50.  
  51.      ____________________________________________________________
  52.  
  53.  
  54.  
  55.  
  56.      ____________________________________________________________
  57.  
  58.  
  59.      ____________________________________________________________
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  62.      ____________________________________________________________
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