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Text File  |  1994-03-18  |  2KB  |  56 lines

  1. Registration Form
  2.  
  3.  
  4. Quantity ________  x $ 15.00    =           $  ________
  5.  
  6. Shipping (U.S. $4.00, Canada and
  7.   Mexico $6.00, foreign $8.00)              $  ________
  8.  
  9. Missouri Residents please add 6% sales tax  $  ________
  10.  
  11. Total                                       $  ________
  12.  
  13.  
  14.  
  15.           Diskette size: [  ] 3.5"   [  ] 5.25"
  16.  
  17.  Name     _______________________________________________
  18.  Company  _______________________________________________
  19.  Address  _______________________________________________
  20.           _______________________________________________
  21.           _______________________________________________
  22.  Phone    _______________________________________________
  23.  
  24. I have read and agree to abide by the license agreement:
  25.  
  26.  Signature  _____________________________________________
  27.  
  28.  
  29. Where did you get Archive Manager?
  30.  
  31.  ___________________________
  32.  
  33. If you received Archive Manager from a BBS, what is
  34. its complete name and phone number?
  35.  
  36. ___________________________________
  37. _________________________________________________________
  38.  
  39. Please include any comments or suggestions on the lines
  40. which follow.  Use an additional page if necessary.
  41. _________________________________________________________
  42. _________________________________________________________
  43. _________________________________________________________
  44. _________________________________________________________
  45. _________________________________________________________
  46. _________________________________________________________
  47. _________________________________________________________
  48. _________________________________________________________
  49.  
  50. For information about volume discounts, site  licenses, and
  51. technical questions please contact VacNat Software.
  52.  
  53. Mail this form to:  VacNat Software
  54.                     1370 White Oak St.
  55.                     Harrisonville, MO 64701
  56.