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Text File  |  1995-02-06  |  2KB  |  54 lines
  1.                                 LegRoom(tm)
  2.         Copyright (c) 1992-95  Phil Grenetz  All Rights Reserved
  3.                  Published by Ivden Technologies, Inc.
  4.  
  5.                   LegRoom(tm) Registration Form
  6.                   -----------------------------
  7.  
  8.      Qty    Description                       Price      Total
  9.      ---    -----------                       -----      -----
  10.  
  11.      _____  LegRoom(tm) Personal on 3.5"      $35.00     _____
  12.      
  13.      _____  LegRoom(tm) Personal on 5.25"     $35.00     _____
  14.  
  15.      _____  LegRoom(tm) LAN .... on 3.5"      $99        _____
  16.  
  17.      _____  LegRoom(tm) LAN .... on 5.25"     $99        _____
  18.  
  19.                                          Sub-Total:   ________
  20.  
  21.              Pennsylvania Residents add sales tax:    ________
  22.  
  23.     Shipping/Handling per copy:
  24.     ($4 USA, $6 Canada / Mexico, $8 Other Countries)  ________
  25.  
  26.                                           Total:     _________
  27.  
  28. Terms:
  29.   * Check or Money Order drawn on a U.S.A. bank in U.S. funds.
  30.   * Includes a free upgrade to the next version of the software,
  31.     when available.
  32.  
  33.      Ship to:                             
  34.      Name: ______________________________ 
  35.  
  36.      Company: ___________________________ 
  37.  
  38.      Address: ___________________________ 
  39.  
  40.      City: ______________________________ 
  41.  
  42.      State: __________   Zip: ___________
  43.  
  44.      Phone: (______) ____________________
  45.  
  46.      Fax:   (______) ____________________
  47.  
  48.      Where did you obtain LegRoom? ______________________________
  49.  
  50.      Ivden Technologies, Inc.        (610) 328-1145 (voice / FAX)
  51.      87 Arbor Road                   CompuServe ID: 71221,3602
  52.      Churchville, PA 18966-1007      Support BBS: (215) 322-5114
  53.  
  54.