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Text File  |  1995-08-01  |  3KB  |  76 lines
  1. DiscTrak System - Version 8.10
  2. Copyright (c)1995 Blam Entertainment Group, All Rights Reserved
  3. Order Form
  4.  
  5.  
  6.    Remit to:   Blaine R. Young
  7.                Blam Entertainment Group           ___________________
  8.                13053 NE 101st Lane, #2            Date
  9.                Kirkland, WA 98034-2893
  10.  
  11.      ____________________     ________________    ___________________
  12.      Current Version          Compile Date        Serial Number
  13.  
  14.  
  15. Service                                         Fee         SUBTOTAL
  16.  
  17. __ DiscTrak System Registration                $25.00       ________
  18.      (New)
  19.  
  20. __ DiscTrak System Diskette                    $ 5.00      +________
  21.      (Current Version)
  22.  
  23. __ DiscTrak System Upgrade Diskette            $ 2.50       ________
  24.      (Previous Registered Users Only)
  25.  
  26. __ Shipping & Handling                         $ 2.50      +________
  27.      (Diskette Shipping Only)
  28.  
  29.   Diskette Size         Automatic Upgrade Subscription
  30. 5 1/4 __ 3 1/2 __         Yes __   No __   Current __
  31.                                                     TOTAL   ________
  32.  
  33.  
  34. Name_____________________________________________________________________
  35.  
  36. Company__________________________________________________________________
  37.  
  38. Address__________________________________________________________________
  39.  
  40. _________________________________________________________________________
  41.  
  42. _________________________________________________________________________
  43.  
  44. Phone  (H)___________________________  (W)_______________________________
  45.  
  46.  
  47. Where did you hear about DiscTrak System_________________________________
  48.  
  49. Comments_________________________________________________________________
  50.  
  51. _________________________________________________________________________
  52.  
  53. _________________________________________________________________________
  54.  
  55. _________________________________________________________________________
  56.  
  57.  
  58.  
  59.  
  60. *    Please make all checks and/or Money Orders payable to:
  61.      Blaine R. Young.
  62.  
  63. *    Checks and/or Money Orders MUST be drawn on U.S. banks, payable in
  64.      U.S. currency.
  65.  
  66. *    Registration will include a unique serial number and instructions
  67.      detailing how to install it.
  68.  
  69. *    Blam Entertainment Group currently ships only low density diskettes.
  70.  
  71. *    Only registered users may take advantage of the automatic upgrade
  72.      subscription offer.
  73.  
  74. *    Automatic Update Subscribers: Check the two lower items, check
  75.      "Current" and fill in the appropriate amounts.
  76.