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register.txt
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1996-11-07
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2KB
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53 lines
Complete the form below to register your Infoflex software programs.
FLEXED REGISTRATION FORM
========================
PROGRAM: # COPIES AMOUNT
FlexED HTML Editor (AUS $29.95, US $25.00)
For Windows 3.1x ______ $________
For Windows 95 ______ $________
Add $10.00 Postage & Handling if Required ______ $________
TOTAL . . . . . . . . . . . . . . . . . . . . . $________
PAYMENT INFORMATION:
====================
MasterCard ___ Visa ___ Bankcard ___ Cheque/Money Order ___
Card Number :__________|___________|____________|___________
Expiry Date :____/____
Card Issued To :_______________________________________________
Signature :_______________________________________________
MAILING ADDRESS:
================
Name :_______________________________________________
Address :_______________________________________________
City/State :_______________________________________________
Country/PostCode :_______________________________________________
Voice/FAX/Modem :_______________________________________________
Email Address :_______________________________________________
_________________________________________________________________
FAX : Registration Forms to +61 2 9894-2067 (Australia)
PHONE: +61 2 9894-1313 (Australia)
MAIL : Infoflex Pty Ltd
Unit 27, 15 Terminus Street
Castle Hill, 2154 NSW
AUSTRALIA
_________________________________________________________________
Internet Email: sales@infoflex.com.au
Internet FTP: ftp.infoflex.com.au
WWW: http://www.infoflex.com.au
_________________________________________________________________