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Text File  |  1998-07-08  |  2KB  |  44 lines
  1. Product Registration  ARC 033-2 Profesional Tricks Magician's Secrets Vol. 4
  2.  
  3. Return this form to receive upgrades, discounts and new product information.  Mail to: Arc Media Inc., 5330 Main Street #210, Buffalo, NY 14221-5360, fax to: (416) 410-9651 or register on our web site: www.arcmedia.com
  4.  
  5. Name: _________________________________________________________________
  6.  
  7. Age: ____________  Occupation: ___________________________________________
  8.  
  9. Street:  ________________________________________________________________
  10.  
  11. City: ____________________________________________  State: ________________
  12.  
  13. Country: _________________________________  ZIP/Postal Code: _______________
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  15. Telephone: ___________________________  Fax: _____________________________
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  17. E-mail: _________________________________________________________________
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  19. Platform:    [  ] Macintosh   [  ] Windows 3.1   [  ] Windows 95   [  ] OS/2
  20. Please rate this product:    [  ] Excellent    [  ] Good    [  ] Poor
  21.  
  22. Comments: ______________________________________________________________
  23.  
  24. ________________________________________________________________________
  25.  
  26. ORDER FORM
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  28. Title Name                            Part #            Qty
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  30. 1____________________________________________    __________________    _____
  31.  
  32. 2____________________________________________    __________________    _____
  33.  
  34. 3____________________________________________    __________________    _____
  35.  
  36. Order Paid by: [ ] Check  [ ] Money Order  [ ] MasterCard  [ ] Visa   [ ] Amex
  37.  
  38.     Credit Card #: _______________________  Name: __________________________
  39.     
  40.     Expiry Date: _____________________  Signature: ___________________________
  41.  
  42. Please make check or money order payable to ARC MEDIA INC.
  43. [ ] Please send me a free catalog
  44.