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Text File  |  1994-05-10  |  2KB  |  62 lines

  1. SnagIt 2.1 Registration Form
  2.  
  3. To register SnagIt, print and complete this form.  Then mail, fax
  4. or telephone your order to:
  5.  
  6. TechSmith Corporation                        Phone:  517-393-0800
  7. 3451 Dunckel Road, Suite 200                   Fax:  517-393-0885
  8. Lansing, MI 48911-4216  USA             CompuServe:  75226,3136
  9.  
  10. PURCHASER ****************************************************************
  11.  
  12.         Name: ________________________________________________________
  13.  
  14.        Title: ________________________________________________________
  15.  
  16.      Company: ________________________________________________________
  17.  
  18.      Address: ________________________________________________________
  19.  
  20. City, State, Zip: ________________________________________________________
  21.  
  22.      Country: ________________________________________________________
  23.  
  24.        Phone: ________________________  Fax: _________________________
  25.    
  26.    Diskette Size: [ ] 3.5"     [ ] 5.25"
  27.  
  28. ORDER ********************************************************************
  29.                                  QTY    AMOUNT
  30.       SnagIt 2.1 retail package -- $59 (U.S.)                 
  31.      (includes ground shipping in continental U.S.)     ______  ______
  32.  
  33.       Sales tax for Michigan residents only -- 6%                   ______
  34.       
  35.       Shipping outside continental U.S. -- $12                      ______
  36.  
  37.       Overnight shipping in continental U.S. -- $12                 ______
  38.  
  39.       Second day shipping in continental U.S. -- $7                 ______
  40.  
  41.       COD shipping in continental U.S. - $5                         ______
  42.  
  43.                                 TOTAL   ______
  44.  
  45. PAYMENT ******************************************************************
  46.  
  47.       [ ] Check or money order enclosed (in U.S. funds drawn on U.S. bank)
  48.  
  49.       Credit Card:  [ ] Visa     [ ] MasterCard
  50.         Credit Card Number: __________________________________________
  51.           Card Holder Name: __________________________________________
  52.            Expiration Date: __________________________________________
  53.              Signature: __________________________________________
  54.  
  55.        Credit card orders may also be E-mailed to TechSmith's CompuServe
  56.        address, 75226,3136, if all of the information requested on this
  57.        form is included.                        
  58.  
  59. Thanks for supporting SnagIt.
  60. TechSmith Corporation                                                  
  61. 10 May 1994                                                            CIS
  62.