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/ Gold Medal Software 3 / Gold Medal Software - Volume 3 (Gold Medal) (1994).iso / database / phone302.arj / PHONE302.EXE / REGISTER.ME < prev   
Text File  |  1993-12-19  |  2KB  |  58 lines
  1. PHONE Version 3.02                                REGISTRATION/INVOICE
  2. ======================================================================
  3. Remit to: VISION COMPUTING INC.
  4.           660 North Broad Street                  Phone: 609/ 853-7022
  5.           Woodbury, NJ  08096-1607                  Fax: 609/ 853-5787
  6. ======================================================================
  7.  
  8. Date:    _____________________________________________________________
  9.  
  10. Name:    _____________________________________________________________
  11.  
  12. Company: _____________________________________________________________
  13.  
  14. Address: _____________________________________________________________
  15.  
  16. Address: _____________________________________________________________
  17.  
  18. Address: _____________________________________________________________
  19.  
  20.  
  21. Phone:  (_______)_____________________________________________________
  22.  
  23. Fax:    (_______)_____________________________________________________
  24.  
  25. Data:   (_______)_____________________________________________________
  26.  
  27.  
  28. Where did you obtain PHONE ?   _______________________________________
  29.  
  30. Type of diskette needed:   ____ 3 ½       ____ 5 ¼
  31.  
  32. Serial No. (ALT-S at main menu will tell you) ________________________
  33.  
  34. Comments: ____________________________________________________________
  35.  
  36. ______________________________________________________________________
  37.  
  38.  
  39. Thank You for registering PHONE.
  40.  
  41.  
  42. ________  Copies @ $ 29.00* each =    $ __________
  43.  
  44. NJ residents add 6 percent sales tax    __________  ( $ 1.74 per reg.)
  45.  
  46. Shipping and handling                 $ ____4.00__
  47.  
  48. TOTAL                                 $ __________
  49.  
  50.    Site licenses are available. Please inquire.
  51. *  If upgrading from a previously registered version, $ 8.00 each.
  52.  
  53. We accept Visa & Master Card. You can fax or mail this form to us.
  54.  
  55. Visa / Master Card - Number: _ _ _ _ / _ _ _ _ / _ _ _ _ / _ _ _ _
  56.  
  57. Expires: _____________ Signature: _________________________________ 
  58.