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Text File  |  1992-04-20  |  1KB  |  38 lines

  1.  
  2.                    TRANSFER Registration form  (Worldwide)
  3.  
  4. Remit To:           Stephen Lewis                 VOICE: 415-469-6623
  5.                     405 South Sunnyvale Av
  6.                     Box 210
  7.                     Sunnyvale, CA 94086
  8.  
  9.     Quantity Discount Schedule, (per purchase).  Each:
  10.  
  11.       1       $15.00   2-4     $14.00   5-49    $13.00   50-99   $11.00
  12.       100-199 $9.00    200-499 $ 7.00   500-999 $ 6.00   1000+   $ 5.00
  13.  
  14.  
  15.               TRANSFER registrations & 1 Disk (5.25 in)            ______
  16.  
  17.               3.5 inch disk instead of 5.25 inch ADD $ 5.00        ______
  18.  
  19.                                                             Total  ______
  20.  
  21. -----------  INSTANT SINGLE QUANTITY REGISTRATION (Circle one) -----------
  22.  
  23.         5.25" check enclosed   $15.00       3.50" check enclosed   $20.00
  24.  
  25. Use Address on envelope ( )    check ( )    or:
  26.  
  27. Name     ___________________________________________________________________
  28.  
  29. Address  ___________________________________________________________________
  30.  
  31.          ___________________________________________________________________
  32.  
  33.          ___________________________________________________________________
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  35.  
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  37. T 5.7
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