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Text File  |  1995-02-16  |  1KB  |  32 lines
  1. -=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-
  2.                         SIMPLE DOS REGISTRATION FORM
  3. -=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-
  4.  
  5. PLEASE TYPE OR PRINT.  
  6.  
  7. Mail To:  Tim Hayes
  8.           P.O. Box 580
  9.           East Chicago, IN 46312
  10.  
  11. NAME:_____________________________________             DATE:_______________
  12.  
  13. ADDRESS:________________________________________
  14.         ________________________________________
  15.         ________________________________________
  16.  
  17. CITY:_____________________  STATE:_______  ZIP CODE:____________
  18.  
  19.  
  20. _______ Copies of Simple DOS at $8.00 Each    $________
  21.  
  22. Please send my order on [ ] 3.5" 720K  or  [ ] 5.25" 360K
  23.  
  24.                                          Subtotal $ __________
  25.  
  26.                               Shipping & Handling  + 2.00
  27.  
  28.                                Total (U.S. Funds) $ __________
  29.  
  30. Payment by:  [ ] Cash     [ ] Check       [ ] Money Order
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