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Text File  |  1992-09-05  |  1KB  |  44 lines
  1.                        Registration Form
  2.  
  3.                         Kamyan Utililies
  4.                            Version 1.1
  5.  
  6.  
  7. NAME________________________________________________________
  8.  
  9. COMPANY_____________________________________________________
  10.  
  11. STREET______________________________________________________
  12.  
  13. CITY________________________________________________________
  14.  
  15. STATE_________________________    ZIP_______________________
  16.  
  17.  
  18. Media type.......5.25"______.......3.5"______
  19.  
  20.  
  21. Price List:
  22.     Units         Total Price
  23.     =====         ===========
  24.       1             $20.00
  25.      2-3               $36.00
  26.      4-8            $64.00 
  27.      9-15          $126.00 
  28.     16-30          $192.00
  29.     31-50          $310.00 
  30.     51-100         $408.00
  31.    101-300         $606.00
  32.      300+         $1200.00
  33.  
  34.                                                 $
  35. Total............................................===========
  36.  
  37.  
  38. Make checks payable to: Kamyan Software
  39.  
  40. Mail to:
  41.     Kamyan Software
  42.     1228 Robin Drive
  43.     Carol Stream, Il 60188
  44.