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Text File  |  1992-03-13  |  2KB  |  55 lines
  1.                         ORDER / REGISTRATION FORM
  2.  
  3.      BookBank Version  1.1
  4.      ----------------------------------------------------------------
  5.      Remit to: Michael Carnell
  6.                (803)556-0562
  7.                P.O. Box 31994
  8.                Charleston, SC 29417
  9.      ----------------------------------------------------------------
  10.      Qty  Item                                   Price       Total
  11.  
  12.      ___  BookBank Registration................@ $50ea    $________
  13.           (includes serial #, registration, program
  14.            and full printed manual.)
  15.  
  16.      ___  BookBank Evaluation Disk.............@ $5ea     $________
  17.           (includes program and introductory
  18.            manual on disk, but not registration)
  19.  
  20.           Disk Size: ( )5 1/4   or   ( ) 3 1/2
  21.  
  22.                                                  Subtotal  $________
  23.  
  24.                         Shipping (FREE in continental US)  $________
  25.  
  26.                                                     TOTAL  $________
  27.  
  28.                Check, money order or COD payments accepted.
  29.                Please allow four to six weeks for delivery.
  30.      ---------------------------------------------------------------
  31.        Payment by: ( ) Check or MO  ( ) COD  ( ) PO # ______________
  32.  
  33.         Name _______________________________________________________
  34.  
  35.      Company _______________________________________________________
  36.  
  37.      Address _______________________________________________________
  38.  
  39.              _______________________________________________________
  40.  
  41.         City ___________________  State _______  Zip _______________
  42.  
  43.        Phone (____)____-_____
  44.  
  45.        Where did you hear of or obtain BookBank?
  46.  
  47.              _______________________________________________________
  48.  
  49.        Comments: ___________________________________________________
  50.  
  51.              _______________________________________________________
  52.  
  53.              _______________________________________________________
  54.  
  55.