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Text File  |  1990-12-08  |  1KB  |  48 lines

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  3.                                ORDER FORM/INVOICE
  4.  
  5.        To:  Eggshell Software                  Date:
  6.             P.O. Box 11147
  7.             Alexandria,  Va    22312
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  9. ------------------------------------------------------------------------------
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  11.                                 ** IMPORTANT **
  12.     MY DISTRIBUTION ARCHIVE WAS REGISTERED TO:____________________________
  13.  
  14.                                 SERIAL NUMBER:____________
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  20.      From:__________________________________
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  22.           __________________________________
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  24.           __________________________________
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  28.     REGISTER TO: __________________________________
  29.                      (If Different From Above)
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  31.  
  32.     ----------------------------------------------------------------------
  33.      QUAN   PRODUCT NAME / DESC                                   PRICE
  34.     ----------------------------------------------------------------------
  35.       1     Biorhythms Version 3 Release Registration              25.00
  36.  
  37.               Postage and Handling                    2.00
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  39.       1    Va Residents Add 4 1/2% State & Local Tax                1.13
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  41.     TOTAL ENCLOSED      (27.00 Out of State, 28.13 VA Residents)  ________
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  44.                 Thank You for Supporting the ShareWare Concept.
  45.           Please Remember to Include The Serial Number from Your Copy
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