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Text File  |  1991-07-10  |  2KB  |  46 lines
  1.          MAP Systems Group Order & Registration Form (for PBOOK 2.0)
  2.  
  3.  
  4.          Name:          _____________________________________________
  5.  
  6.          Address:       _____________________________________________
  7.  
  8.                         _____________________________________________
  9.  
  10.          City:          _____________________________________________
  11.  
  12.          State:         ________________________ Zip: _______________
  13.  
  14.          Daytime phone: __________  Evening phone: __________________
  15.  
  16.          Best time to reach you: ____________________________________
  17.  
  18.          Item                                      Quantity     Total
  19.          ------------------------------------------------------------
  20.                                                            |
  21.          PHONBOOK Registration ($14 each)      ____________|_________
  22.                                                            |
  23.          Disk update for registered users ($5 each)________|_________
  24.                                                            |
  25.          Shipping Charges         U.S./Canada : $ 2.00     |
  26.                                   Elsewhere   : $ 5.00     |
  27.                                                            |
  28.          Total Shipping Charges____________________________|_________
  29.                                                            |
  30.          ------------------------------------------------------------
  31.                                                            |
  32.          Total Due:                                        |_________
  33.  
  34.          Preferred Disk Size (circle one):   3.5"   5.25"
  35.  
  36.          Do you use a modem with your PC? ___________________________
  37.  
  38.          Where did you hear about the MAP System Group? _____________
  39.  
  40.          ____________________________________________________________
  41.  
  42.          Mail completed order form and check to:  MAP Systems Group
  43.                                                   David Arnett
  44.                                                   6347 North Feland
  45.                                                   Fresno, CA 93711
  46.