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Text File  |  1996-02-02  |  2KB  |  52 lines
  1.   Registration Form (G7C17):
  2.  
  3.   Send to:   Synergistic Consultants, Incorporated
  4.              Post Office Box 18888
  5.              Huntsville, AL 35804-8888
  6.              1-800-828-8384 (Order, help, fax line)
  7.  
  8.   Name:            __________________________________
  9.  
  10.   (Company):       __________________________________
  11.  
  12.   Address:         __________________________________
  13.  
  14.   City:            __________________________________
  15.  
  16.   Today's date:    ___________   
  17.  
  18.   State, ZIP Code: __________________________________
  19.  
  20.   (Country):       __________________________________
  21.  
  22.   Daytime
  23.   Phone #: _________________________  FAX #: ____________________________
  24.   Home
  25.   Phone #: _________________________
  26.  
  27.                                                 Quantity         Price
  28.   GEN7 Command Line Editor V 1.7:               ________        $10.00
  29.                                                 _4.00___        Shipping
  30.                                                                  $4.00
  31.                                                                    or
  32.                                                                 AL Sales
  33.                                                                    Tax
  34.  
  35.   TOTAL ENCLOSED:                                        U.S. $________
  36.  
  37.  
  38.   MasterCard ____ or VISA ____     Expiration Date ______________
  39.  
  40.   Card Number _________________________________________________________
  41.  
  42.   Card Holder's Signature (REQUIRED) __________________________________
  43.  
  44.  
  45.  
  46.   TERMS:
  47.     MasterCard, VISA, Check or Money Order drawn on a United States 
  48.     bank in U.S. funds.  Please make remittance payable to Synergistic
  49.     Consultants, Inc..  Prices and terms subject to change without notice.
  50.     MS-DOS is a registered trademark of Microsoft Corporation.
  51.  
  52.