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Text File  |  1993-08-21  |  2KB  |  50 lines

  1.          PCS IPF Editor Order and Registration Form
  2.              (Revised August 19, 1993)
  3.  
  4. Perez Computing Services              
  5. 4725 Monte Vista Pl.                 
  6. Mount Vernon, WA 98273, USA
  7.                       
  8. Phone: (206) 428-5025
  9. Compuserve: 70410,2416
  10. Prodigy: GFKM03A
  11.  
  12.  
  13.   Please place a check mark in the boxes below and then add up the 
  14.   totals or call 1-206-428-5025 to order C.O.D. for faster delivery
  15.   or for Purchase Orders.
  16.  
  17. [ ] Registered IPF Editor 1.0 ($95)............................... ________
  18. [ ] Registered IPF Editor Printed Documentation ($30)............. ________
  19.  
  20.           
  21.                                         Shipping & Handling....... _$5.00__
  22.  International Shipping & Handling ($5, non-US orders only)....... ________
  23.                            Washington residents add 7.8% tax...... ________
  24.  
  25.                                                     Total enclosed ________
  26.  
  27.  
  28. Please select disk size:  5.25 High Density
  29.                           3.5  High Density
  30.                           3.5  Low Density
  31.  
  32.           Name: _______________________________________________
  33.  
  34.   Company Name: _______________________________________________
  35.  
  36.        Address: _______________________________________________
  37.  
  38.           City: _________________________
  39.  
  40.          State: ________              Zip: ____________
  41.  
  42.        Country: ____________________  Phone: __________________
  43.  
  44.  
  45. Payment by:  [ ] Check   [ ] Money order  
  46.  
  47. Please allow one to two weeks for delivery.  For faster delivery please call
  48. PCS.
  49.  
  50.