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Text File  |  1991-10-01  |  2KB  |  60 lines
  1.  
  2.                       ------------------------------------------
  3.                         FileXref Registration and Payment Form
  4.                       ------------------------------------------
  5.  
  6.  
  7.           To order FileXref, please fill out the form below. Use your
  8.           street address only. We cannot ship to a post office box.
  9.  
  10.                                                            Date: __________
  11.  
  12.           Name: ___________________________  Title: _______________________
  13.  
  14.           Company: ________________________________     or Personal [  ]
  15.  
  16.           Address: ________________________________
  17.  
  18.                    ________________________________
  19.  
  20.           City:    ________________________________
  21.  
  22.  
  23.           State:   ________________________________   Zip: _______________
  24.  
  25.           Phone  Work: (_____) _____-_____        Home: (_____) _____-_____
  26.  
  27.           Please make check or money order payable to ConVal Software,Inc.
  28.           California residents must add sales tax.
  29.  
  30.  
  31.                FileXref 1.3 Software Package      $25.00 each    __________
  32.  
  33.                    California residents add 7.25% sales tax.     __________
  34.  
  35.                          Shipping and handling
  36.                            in the United States   $ 2.00 -or-    __________
  37.                            outside the U.S.       $10.00         __________
  38.  
  39.                                                   Total          __________
  40.  
  41.  
  42.           Please indicate diskette format: [  ]  5.25
  43.                                            [  ]  3.5
  44.  
  45.  
  46.           Send all items to:       ConVal Software, Inc.
  47.                                    11607 E. Butter Creek Road
  48.                                    Moorpark, CA 93021
  49.                                    U.S.A.
  50.  
  51.           For our marketing database - Where did you get your evaluation
  52.           copy?
  53.  
  54.                    -------------------------------------------------------
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