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Text File  |  1992-01-30  |  2KB  |  64 lines
  1.  
  2.  
  3.  
  4.                            REGISTRATION / ORDER FORM
  5.  
  6.                             MATH-SHOP 1 (whole #'s)
  7.                             MATH-SHOP 2 (fractions)
  8.                             MATH-SHOP 3 (decimals)
  9.  
  10.  
  11.                                   Jack C Webb
  12.                                   P.O. Box 357
  13.                          Grand Blanc, Michigan 48439-0357
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  15.  
  16.  
  17.           Item                         Quantity    Price        Extension
  18.         ------------------------------------------------------------------
  19.  
  20.         INDIVIDUAL REGISTER/ORDER
  21.           MATH-SHOP 1                    ___       $10.00      $__________
  22.           MATH-SHOP 2                    ___       $10.00      $__________
  23.           MATH-SHOP 3                    ___       $10.00      $__________
  24.           Any two                        ___       $15.00      $__________
  25.           All three                      ___       $20.00      $__________
  26.  
  27.         SCHOOL / INSTITUTION 
  28.          REGISTER/ORDER PER SITE
  29.           MATH-SHOP 1                    ___       $25.00      $__________
  30.           MATH-SHOP 2                    ___       $25.00      $__________
  31.           MATH-SHOP 3                    ___       $25.00      $__________
  32.           Any two                        ___       $35.00      $__________
  33.           All three                      ___       $50.00      $__________
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  37.         If ordering please indicate
  38.         disk size and include $1.50                  P & H     $__________
  39.         for postage & handling
  40.         (for each set of 1 to 3 disks)               Total     $__________
  41.  
  42.  
  43.         Disk size:  ___ 5.25
  44.                     ___ 3.5
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  48.           Please make checks payable to:  Jack C Webb
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  52.           Registrant Name________________________________________________
  53.  
  54.           Address________________________________________________________
  55.  
  56.           Address________________________________________________________
  57.  
  58.           City_______________________________State___________Zip_________
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  60.           Phone (______)_____________________________
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