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DC.FRM
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Text File
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1991-03-15
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2KB
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50 lines
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DC ORDER FORM
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All lines of this form must be completed in full in order to
process your order. YOU MUST REGISTER EACH COPY OF DC THAT
IS USED ON YOUR SITE (ONE COPY MAY NOT BE USED ON MULTIPLE
MACHINES). Please make checks or money orders payable to
"Terratech" and remit to:
Terratech
19817 61st Ave. S.E.
Snohomish, WA 98290
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DC REGISTRATION FEE:
Quantity: ______ copies at $15.00 (U.S.) per copy _________
Washington State residents add 7.6% sales tax _________
TOTAL _________
Check One: 5 1/4" Disk [ ]
3 1/2" Disk [ ]
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Purchaser's Name and Shipping Address:
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Authorized Representative/Contact and Title (if Business):
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Telephone (Specify Day and Evening Numbers):
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Purchaser understands that DC is provided "AS IS" and without
warranty of any kind, either express or implied. Purchaser
warrants that each copy will be used on only one machine and that
purchaser's copy will not be made available to any third parties.
Purchaser's Printed Name: ______________________________________
Signature: ______________________________________
Date: ______________