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Text File  |  1994-05-17  |  2KB  |  47 lines
  1.  
  2.                           HQ-FAX Registration and Order Form
  3.  
  4.                                    HTF Consulting
  5.                               436 Whitehall Rd. Suite F
  6.                                  Alameda, Ca. 94501
  7.                                 Voice: (510) 521-1569
  8.                                  FAX (510) 633-0528
  9.  
  10.  
  11.     Quantity                                           Price          Total
  12.     ______________________________________________________________________________
  13.  
  14.     ________ One-Step High Quality FAX (HQ-FAX)       $ 24.00
  15.  
  16.     ________ One-Step FAX Haven                       $ 15.00
  17.                                                Software Total **  ______.___
  18.  
  19.     ________ Shipping & Handling  (Per Shipment)      $  3.00
  20.  
  21.     ________ 3.5" disk (please add $1.00 per item)
  22.     ________ 5.25" 360K disks (please add $1.00 per item)        _______.___
  23.  
  24.              California residents, please include 8% sales tax   _______.___
  25.  
  26.              Overseas Shipping please add $2.00 per item         _______.___
  27.               (NOT for U.S.A., FPOs, APOs, Canada or Mexico)
  28.  
  29.                                                   Order Total ** _______.___
  30.  
  31.     Checks must be in US Dollars, drawn on a US bank. A Canadian Postal Money
  32.     Order in US Dollars is acceptable.
  33.  
  34.     Payment:           Check ___           Money Order ___
  35.  
  36.     Ship to:           ___________________________________
  37.  
  38.     Attention          ___________________________________
  39.  
  40.     Mailing Address    ___________________________________
  41.  
  42.                        ___________________________________
  43.  
  44.                        ___________________________________
  45.  
  46.     Registration Number__________________
  47.