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Text File  |  1991-09-05  |  2KB  |  58 lines
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  6.                                                STROBE 1.0 REGISTRATION FORM
  7.      ▀▀▀▀▀▀▀▀▀▀▀▀▀▀▀▀▀▀▀▀▀▀▀▀▀▀▀▀▀▀▀▀▀▀▀▀▀▀▀▀▀▀▀▀▀▀▀▀▀▀▀▀▀▀▀▀▀▀▀▀▀▀▀▀▀▀▀▀▀▀
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  11.      Send to:  KJL Software
  12.                2970 Mira Place
  13.                Burnaby, B.C. V3J-1B6
  14.                Canada
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  17.      Strobe Registered Version          Qty ____ @ $15           $_________
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  19.      Strobe Site License                Qty ____ @ $________ ea. $_________
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  21.                British Columbia residents add 6% sales tax       $_________
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  23.                Shipping and handling
  24.                          USA/Canada:              $4
  25.                          All other countries:     $10            $_________
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  28.                                                        TOTAL     $_________
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  30.      Note: All payments must be in U.S. funds, drawn on a U.S. bank
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  32.      Payment method: (  ) Check/money order  (  ) PO # ____________________
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  35.      ______________________________________________________________________
  36.      Name      Last                          First          Middle Initial
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  38.      ______________________________________________________________________
  39.      Title               Company Name
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  41.      ______________________________________________________________________
  42.      Street Address
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  44.      ______________________________________________________________________
  45.      City                                    State/Province
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  47.      ______________________________________________________________________
  48.      ZIP/Postal Code               Country
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  50.      [ ] 5.25", 360K diskette requested (3.5", 720K diskette is standard)
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  52.      Where did you get your copy of Strobe? _______________________________
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  54.      Please write any comments, suggestions, or bug reports on the back of
  55.      this form or on a separate sheet of paper.
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  58.                                                        [FORM: SB10-0991-RF]