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Text File  |  1992-08-09  |  2KB  |  61 lines
  1.          LJPRTIII (TM) REGISTRATION FORM (cis)
  2.  
  3.  
  4.           Please complete this form and mail it with your check or money
  5.           order payable to Kevin Loucks to:
  6.  
  7.                              Capitol City Software, Inc.
  8.                              PO Box 15303
  9.                              Minneapolis, MN  55415-0303
  10.  
  11.  
  12.                       Name: ___________________________________________
  13.  
  14.                    Company: ___________________________________________
  15.  
  16.                      Title: ___________________________________________
  17.  
  18.                    Address: ___________________________________________
  19.  
  20.                             ___________________________________________
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  22.           City, State, Zip: ___________________________________________
  23.  
  24.                Voice phone: ___________________________________________
  25.  
  26.                  Fax phone: ___________________________________________
  27.  
  28.  
  29.           Diskette format:  5.25" disk  ___    3.5" disk ___
  30.  
  31.  
  32.  
  33.           Additional comments or suggestions: _____________________________
  34.  
  35.           _________________________________________________________________
  36.  
  37.           _________________________________________________________________
  38.  
  39.           _________________________________________________________________
  40.  
  41.           _________________________________________________________________
  42.  
  43.  
  44.  
  45.           Single-User License - for one user only:
  46.  
  47.  
  48.           Full Registration, includes diskette with
  49.               current version and next major update        $69.95    ______
  50.  
  51.  
  52.           Please add $5 shipping and handling per order              ______
  53.  
  54.  
  55.           Minnesota residents add 6.5% sales tax.           $4.55    ______
  56.  
  57.  
  58.                                                   Total Enclosed     ______
  59.  
  60.           Thank you for your $upport!
  61.