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ORDER.FRM
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Text File
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1992-07-01
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3KB
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59 lines
================================
ROBOCOMM 4.2 REGISTRATION FORM
================================
-> Ordering from the U.K.? Please use the UK-ORDER.FRM file! <-
Remit to: Parsons Consulting
5020 S. Lake Shore Drive
Suite 3301
Chicago, IL 60615-3249
U.S.A.
------------------------------------------------------------------
| Item | Quantity | Price | Total |
|-------------------------------|----------|--------|------------|
| Robocomm version 4.2 | ________ | $40.00 | __________ |
| | | | |
| Printed documentation | ________ | $10.00 | __________ |
| | | | |
| IL residents only - sales tax | | 8% | __________ |
| | | | |
| Shipping (Outside U.S. only) | ________ | $5.00 | __________ |
|---------------------------------------------------|------------|
| | |
| Total amount enclosed | __________ |
------------------------------------------------------------------
Check desired disk format: ( ) 5.25" OK ( ) 3.5" Required
Disk Density: ( ) Low Required ( ) High OK
Payment by: ( ) Check or money order (U.S. funds only)
( ) MasterCard
( ) Visa
( ) PO # ______________
Card #: ____________________________________ Exp. Date: _________
Signature of card holder: ____________________________________________
Name: ________________________________________________________
Company: ________________________________________________________
Address: ________________________________________________________
________________________________________________________
________________________________________________________
Phone: ________________________________________________________
FLASH: INSTANT GRATIFICATION REGISTRATION ONLINE AT GROUP ONE BBS!
Call Group One BBS and register with MasterCard or Visa and
receive your personalized ROBOUSR.DEF file immediately!
>>>> 312-752-1258 <<<<