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Text File  |  1992-01-22  |  1KB  |  46 lines
  1. Registration Form Shareware programs Jovandi International, Inc.
  2.  
  3.  
  4. send to :   Jovandi International, Inc.
  5.             233 Peachtree Street, NE suite 404
  6.             Atlanta, GA 30303
  7.             
  8.             Tel. (404) 523-1772
  9.             Fax. (404) 522-7116
  10.  
  11.               
  12. Product Name:     _________________________________________________________
  13.  
  14.  
  15. Company Name:     _________________________________________________________
  16.  
  17. Licensee Name:    _________________________________________________________
  18.  
  19. Address:          _________________________________________________________
  20.  
  21. City:             _________________________________________________________
  22.  
  23. State:            _________________________________________________________
  24.  
  25. Zip:              _________________________________________________________
  26.  
  27. Tel:              _________________________________________________________
  28.  
  29. Fax:              _________________________________________________________
  30.  
  31. Signature:        _________________________________________________________
  32.  
  33.  
  34.  
  35. Hereby I order _____ (* x) copies of ________________________(product name)
  36.  
  37. I have a cheque enclosed with this order for the proper amount.
  38.  
  39.  
  40. Pricing is: TM.NLM & TS.NLM registration.........$  25.00
  41.             US-Shipping & Handling...............$   4.00
  42.             Other-Shipping & Handling............$   6.00
  43.  
  44.             Georgia residents..(add sales tax)
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  46.