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Text File  |  1991-08-31  |  2KB  |  60 lines
  1.  
  2.  
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  6.                       ------------------------------------------
  7.                         ReNamer Registration and Payment Form
  8.                       ------------------------------------------
  9.  
  10.  
  11.  
  12.           To order ReNamer, please fill out the form below. Use your
  13.           street address only. We cannot ship to a post office box.
  14.  
  15.                                                            Date: __________
  16.  
  17.           Name: ___________________________  Title: _______________________
  18.  
  19.           Company: ________________________________     or Personal [  ]
  20.  
  21.           Address: ________________________________
  22.  
  23.                    ________________________________
  24.  
  25.           City:    ________________________________
  26.  
  27.  
  28.           State:   ________________________________   Zip: _______________
  29.  
  30.           Phone  Work: (_____) _____-_____        Home: (_____) _____-_____
  31.  
  32.           Please make check or money order payable to ConVal Software,Inc.
  33.           California residents must add sales tax.
  34.  
  35.  
  36.                ReNamer 1.1 Software Package       $40.00 each    __________
  37.  
  38.                    California residents add 7.25% sales tax.     __________
  39.  
  40.                          Shipping and handling
  41.                            in the United States   $ 2.00 -or-    __________
  42.                            outside the U.S.       $10.00         __________
  43.  
  44.  
  45.                                                   Total          __________
  46.  
  47.  
  48.           Please indicate diskette format: [  ]  5.25
  49.                                            [  ]  3.5
  50.  
  51.  
  52.           Send all items to:       ConVal Software, Inc.
  53.                                    11607 E. Butter Creek Road
  54.                                    Moorpark, CA 93021
  55.                                    U.S.A.
  56.  
  57.           For our marketing database - Where did you get your evaluation
  58.           copy?
  59.                    -------------------------------------------------------
  60.