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Text File  |  1996-03-01  |  2KB  |  60 lines
  1.                 Order / Registration Form - ZIPPER Payroll (1.75g)   
  2.    
  3.  
  4.      NAME    : ___________________________________________________________
  5.    
  6.      COMPANY : ___________________________________________________________
  7.    
  8.      ADDRESS : ___________________________________________________________
  9.    
  10.      CITY    : ________________________ STATE:_____  ZIPCODE:_____________
  11.    
  12.      PHONE   : _________________________   FAX: __________________________
  13.    
  14.      E-MAIL  : _________________________________
  15.       
  16.  
  17.  
  18.  
  19.  
  20.      Registration:                        ( $67.00 )         $____________
  21.          Includes  One year of technical support & tax table
  22.                    updates, a printed user's manual, & free 
  23.                    W-2 forms (See FORMS.DOC)
  24.     
  25.      Shipping & Handling                   ( $5.00 )         $___________
  26.  
  27.      Additional W-2 Forms (See FORMS.DOC)                    $___________
  28.  
  29.      Subtotal                                                $___________
  30.  
  31.      Sales Tax   (Washington residents only - 8.2%)          $___________
  32.  
  33.      Total                                                   $___________
  34.      
  35.      
  36.      ____________________________________________________________________
  37.           COMPLETE THE FOLLOWING SECTION IF ORDERING BY CREDIT CARD
  38.       
  39.      MasterCard [ ]    VISA [ ]    American Express  [ ]    Discover  [ ]   
  40.      
  41.      Number  _______ _______ _______ _______   Expiration Date __________
  42.      
  43.      Name on Card _______________________________________________________
  44.        
  45.      Signature _________________________________   Date _________________
  46.      ____________________________________________________________________ 
  47.      
  48.  
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  50.  
  51.      Remit with payment or     ZIPPER Brand Software (formerly SOFTCRAFT)
  52.      complete credit card      3612 122nd Place SE
  53.      info above to:            Everett, WA 98208-5647
  54.                                Voice:  (206) 728-8427
  55.                                Fax  :  (206) 337-1842
  56.      Online orders accepted => BBS  :  (206) 337-7868  
  57.                                Internet: edprotas@interserv.com
  58.                                CompuServe: 71221,376                  
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