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Text File  |  1993-01-04  |  1KB  |  41 lines
  1.                                 Reels 3.0 Order Form 
  2.                 Prices listed are for prepaid orders in U.S. funds.
  3.                 Shipping is included.
  4.  
  5.         Item            Quantity    Price    Amount 
  6. New Registration:
  7. Disk size (3.5__ or 5.25___)        ________    $25.00    _______ 
  8.  
  9. Upgrade Registration:
  10. Disk size (3.5__ or 5.25___)        ________    $4.00    _______ 
  11.  
  12.  
  13.                             TOTAL   _______
  14. Select Method of Payment:            
  15.                                  
  16. *Check ____ Money Order ____ 
  17. * Checks drawn on Non-U.S. banks or in Non U.S funds 
  18.   cannot be accepted. 
  19.  
  20. *Name:       ___________________________________________ 
  21.  
  22. Address 1    ___________________________________________ 
  23.  
  24. Address 2    ___________________________________________ 
  25.  
  26. City        ________________________  State  _______ ZIP ___________ 
  27.  
  28. Phone (      ) _________ - _________________    (optional)
  29.  
  30. *Print your name as you want it to appear in your registered copy.
  31.  
  32. Mail or this form with payment to:  
  33.                                     Fred Schatzki 
  34.                                     118 Weathers Court
  35.                                     Summerville, SC 29483
  36.                                     (803) 873-2768 (voice)
  37.  
  38.  
  39.                         Please allow 3 weeks for delivery
  40. 
  41.