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Text File  |  1998-07-12  |  2KB  |  52 lines
  1.  
  2.                           UZ REGISTRATION
  3.  
  4.           Name             ________________________________________
  5.  
  6.           Company          ________________________________________
  7.  
  8.           Address          ________________________________________
  9.  
  10.           City/State       ________________________________________
  11.  
  12.           Zip/Postal Code  ________________________________________
  13.  
  14.           Country          ________________________________________
  15.  
  16.           Phone            ________________________________________
  17.  
  18.           EMAIL ADDRESS    ________________________________________
  19.                            If you include your eMail address, we can
  20.                            send you the registration code immediately.
  21.  
  22.      DISK SIZE:  (  ) 3-1/2"   (  ) CD-ROM
  23.  
  24.      I AM ORDERING:
  25.  
  26.         (  ) UZ  ($20)
  27.  
  28.      SHIPPING CHARGES
  29.      --------------------
  30.      Please add $2.00 for shipping if you live in the United States.
  31.      For shipping to all other countries, please add $4.00 per order.
  32.  
  33.      Amount Enclosed: $_________
  34.  
  35.      Make your check or money order payable to ULTISOFT.
  36.  
  37.      Mail payment and registration form to:    ULTISOFT
  38.                                                PO Box 5015
  39.                                                Central Point, OR 97502
  40.                                                USA
  41.      Payment Method:
  42.                      ___ Check   ___ Money Order   ___ VISA   ___ MasterCard
  43.  
  44.      Credit Card Number #_____ - _____ - _____ - _____   expires ____/____
  45.  
  46.      For credit card orders:  Call 1-800-925-3147 (U.S. and Canada)
  47.                                    1-541-664-1885 (International)
  48.                                    1-541-664-3403 (FAX)
  49.  
  50.      Order Online at:         http://www.ultisoft.com
  51.  
  52.