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Text File  |  1995-04-21  |  2KB  |  26 lines
  1. +----------- HQ-FAX / FAXHAVEN Shareware Registration & Order Form ------------+
  2. |                                                                              |
  3. | FROM: _______                                 TO:                            |
  4. | Name ....... ______________________________ |                                |
  5. | Company .... ______________________________ | HTF Consulting                 |
  6. | Address 1 .. ______________________________ | 436 Whitehall Rd. Suite #F     |
  7. | Address 2 .. ______________________________ |                                |
  8. | City St Zip  ______________________________ | Alameda, CA. 94501             |
  9. | Voice number ____________________           | (510) 521-1689                 |
  10. | FAX number . ____________________           | (703) 937-3630                 |
  11. |                                                                              |
  12. | FAX Registration to:  _ ___(800)973-6334  or  _ ________(703)937-3630        |
  13. |                                                                              |
  14. | PRODUCT: HQ-FAX ($29.00) _  FAXHAVEN ($39.00) _  HQFAXBAK ($29.00) _         |
  15. | ADD'L FONTS: Standard add-on pack (TRomono,Swizmon,Procoor $25.00) _         |
  16. | Choose any 3 ($30.00) TRomono _  Swizmon _  Procoor _  Prestij _  Presmon _  |
  17. | Diskette size: 3.5" _  or 5.25" _                                            |
  18. |                                                                              |
  19. | PAYMENT METHOD: VISA/MC/AMEX Acct. # ______________________  Exp date __/__  |
  20. |                 Checking Acct. # _____________      Check # __________       |
  21. |                 Bank name ____________________________________________       |
  22. |                                                                              |
  23. | Where did you find HQ-FAX/FAXHAVEN? ________________________________________ |
  24. +--------------- F1 = Help, F3 = Verify, F8 = GO, <ESC> = Exit ----------------+
  25. |                 Line 25 is a status line for error messages                  |
  26.