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Text File  |  1991-10-10  |  2KB  |  51 lines
  1.  
  2.                ----------------------------------------------
  3.                    CRTSAVER 1.6  Registration / Order Form
  4.                ----------------------------------------------
  5.       Please fill out the form below to order your registered version of
  6.       CRTSAVER. Register for each computer that CRTSAVER is installed.
  7.  
  8.                                                     Date: ______________
  9.  
  10.       Name: _____________________________  Title:   ____________________
  11.  
  12.       Company: _________________________________________________________
  13.  
  14.       Address: _________________________________________________________
  15.  
  16.       __________________________________________________________________
  17.  
  18.       City: ____________________________________________________________
  19.  
  20.       State/Country: ________________________ Zip: _____________________
  21.  
  22.       Phone(Optional) Work: (___) ____ - _____  Home: (___) ____ - _____
  23.  
  24.       ------------------------------------------------------------------
  25.       Description                             Qty.     Price    Total
  26.       ------------------------------------------------------------------
  27.  
  28.       CRTSAVER registered version on 5.25" disk. ___ x $15.00 = $_______
  29.  
  30.       Site license registration
  31.         (10 or more copies) :                    ___ x  $8.00 = $_______
  32.  
  33.                                                      Subtotal   ________
  34.  
  35.       (All orders outside U.S. add $5 Shipping)     Shipping +     2.50
  36.  
  37.       (AZ residents please add 6.7% sales tax)            Tax   ________
  38.  
  39.       All checks and money orders must be drawn         TOTAL  $________
  40.         in U.S. Dollars (on U.S. account).
  41.  
  42.       Please Send To:  Seth W. Comstock
  43.                        4835 W. Montecito
  44.                        Phoenix, AZ 85031-2027
  45.                         (602) 247-1621
  46.  
  47.       Where did you find the program and suggestions?
  48.           
  49.       __________________________________________________________________
  50.  
  51.