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Text File  |  1992-11-19  |  2KB  |  55 lines

  1.                                 ViewSat                         v1.08
  2.                        Satellite Viewing Program
  3.  
  4.                  ViewSat Order Form (PERSONAL USE ONLY)
  5.      ----------------------------------------------------------------
  6.  
  7.      MAKE CHECKS PAYABLE TO:
  8.  
  9.          David J. Rasmussen
  10.          10374 Palmento Drive
  11.          Riverside, Ca. 92505
  12.  
  13.      ----------------------------------------------------------------
  14.  
  15.       Qty
  16.  
  17.      ____ ViewSat REGISTERED Version     @ $20.00 each     $_________
  18.  
  19.  
  20.         * Price includes shipping and handling *  Total    $_________
  21.  
  22.      Diskette type (check one):   [ ] 5-1/4" 360K  [ ] 3-1/2" 720K
  23.                                   [ ] 5-1/4" 1.2M  [ ] 3-1/2" 1.44M
  24.  
  25.      Numeric Coprocessor Support:
  26.      [ ] Currently have (or plan to get)    [ ] No Numeric Coprocessor
  27.  
  28.      Payment: (check one):
  29.      [ ] Check  [ ] Money Order  [ ] Other
  30.  
  31.  
  32.     Checks and Money Orders must be drawn on U.S. banks in U.S. funds.
  33.                              ** PLEASE PRINT **
  34.  
  35.  
  36.       Name    _______________________________________________________
  37.  
  38.       Company _______________________________________________________
  39.  
  40.       Address _______________________________________________________
  41.  
  42.               _______________________________________________________
  43.  
  44.  
  45.       Phone   _____________________  Bus. ___________________________
  46.  
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  48.  
  49.       Comments ______________________________________________________
  50.  
  51.                ______________________________________________________
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