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Text File  |  1993-08-10  |  2KB  |  54 lines
  1.           DayFlo TRACKER Lite -- ORDER/REGISTRATION FORM
  2.                ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
  3. Registering will provide you with the lastest version, serial #, a
  4. comprehensive printed user manual of more than 250 pages, 180 days 
  5. telephone support, additional sample templates and reports, additional 
  6. personal help screens and information regarding updates and new releases.
  7.                                                   
  8.     Name:________________________________  Title:________________ 
  9.                                                                  
  10.  
  11.     Company:_____________________________________________________ 
  12.                                                                  
  13.  
  14.     Address:_____________________________________________________
  15.  
  16.  
  17.     Address:____________________________ City:___________________ 
  18.                                                                  
  19.  
  20.     State:___________   Zip:_____________  Country:______________ 
  21.                                                                  
  22.  
  23.     Date:_____/_____/_____            Current version #__________
  24.       (Fill out form completely)   
  25.     ---------------------------------------------------------------
  26.     Product                     #     Price/ea     S&H       Total 
  27.     ---------------------------------------------------------------
  28.     DayFlo TRACKER Lite        ___    _$65.00_    _$7.00_   _______
  29.  
  30.     Additional Manual-VAR's Only__    _ 28.00_    _ 2.00_   _______
  31.     * Canadian Orders, Add $4.00 per copy  or             
  32.     * International Orders, Add $9.50 per copy              _______
  33.  
  34.     * CA Residents add appropriate sales tax                _______
  35.  
  36.                                      TOTAL ENCLOSED     ___________
  37.  
  38.     Disk Size: [ ] 5-1/4"   [ ] 3-1/2"   [ ] Check [ ] Visa [ ] MC
  39.     
  40.     Card# __________________________________     Exp. Date ________
  41.     
  42.     Signature ______________________________
  43.     How did you hear about our Products?    [ ] BBS   [ ] Friend 
  44.  
  45.     [ ] Other _____________________________________________________
  46.                   Mail Completed form with Payment to: 
  47.            DayFlo TRACKER Corp.
  48.            18021 "J" Sky Park Circle
  49.            P.O. Box 19243
  50.            Irvine, CA  92713 USA
  51.            (800) 367-5369/(714) 474-2901(ORDERS ONLY)
  52.            FAX (714) 474-0197
  53.          [Aug 1993]  Prices subject to change without notice.  
  54.