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Text File  |  1991-05-04  |  1KB  |  48 lines
  1.  
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  7.                            Track-It Registration Form
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  10.              Company Name: ______________________________________
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  12.              Contact Name: ______________________________________
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  14.              Shipping Address: __________________________________
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  16.              City: ______________________________________________
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  18.              State ______________________  Zip Code _____________
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  20.              Phone Number: (    ) ______ - ____________
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  23.              Media Type:       5.25" disk( )        3.5" Disk ( )
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  26.              Method of Payment:
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  28.              Check: ( )   Cashiers Check: ( )    Money Order: ( )
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  31.                                                 Track-It $ 149.00
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  33.                                      Shipping & Handling $   5.00
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  35.                                                 Tax      $_______
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  37.                                                 Total    $_______
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  40.              Please make check payable to Millennium Software.
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  43.              Mail completed form and payment to:
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  45.              Millennium Software
  46.              P.O. Box 2209
  47.              Dublin, Ca. 94568
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