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Text File  |  1991-07-27  |  2KB  |  61 lines

  1.                         STAFF REGISTRATION/ORDER FORM
  2.  
  3.                  NAME   :_________________________________
  4.  
  5.                  ADDRESS:_________________________________
  6.                          _________________________________
  7.                          _________________________________
  8.                          _________________________________
  9.  
  10.                  [ ] - STAFF-BASE $69.00............______
  11.  
  12.                  [ ] - STAFF-GRAF $39.00....,.......______
  13.                  [ ] - STAFF-UTIL $39.00.....,......______
  14.                  [ ] - STAFF-REPORT $39.00....,.....______
  15.                  [ ] - STAFF-UTIL $39.00.......,....______
  16.                  [ ] - STAFF-KICK $39.00........,...______
  17.                  [ ] - STAFF-DIAL $39.00.........,..______
  18.                  [ ] - STAFF-INTEGRATOR $29.00....,.______
  19.                  [ ] - STAFF-Mask $49.00............______
  20.  
  21.                  [ ] - All of the above (STAFF
  22.                        Fee included) $250.00........______
  23.  
  24.                  [ ] - STAFF Developers version
  25.                        with unlimited Run-time
  26.                        licensing $399.00............______
  27.  
  28.                  [ ] - For Corporate Licensing
  29.                        see file SITELICE.DOC........______
  30.  
  31.                   Subtotal.....................US$________
  32.  
  33.       Shipping and Handling:
  34.         [ ] for registration in Germany  $14.00.....______
  35.         [ ] for registration in USA $4.00...........______
  36.  
  37.                   TOTAL........................US$________
  38.  
  39.  
  40.  
  41.          Method of Payment: [ ] - Check enclosed   [ ] - Visa
  42.  
  43.                             [ ] - MasterCard       [ ] - AMEX
  44.  
  45.                        Card No. ______________________________
  46.  
  47.                        Exp.Date ________ Sig._________________
  48.  
  49.  
  50.   For Registration in the US send to:    For Registration in Germany send to:
  51.  
  52.   Public (software) Library (PsL)        MSC - Morariu Software Consulting
  53.   P.O.Box 35705                          Im Mainfeld 23
  54.   Houston, TX 77235-5705                 W-6000 Frankfurt am Main 71
  55.   U.S.A.                                 Germany
  56.  
  57.   Credit card orders only:               Credit card orders only:
  58.   Phone: 1-800-2424-PSL                  Phone: (0049)-69-6702652
  59.   Fax:   1-713-524-6398                  Fax:   (0049)-69-676017
  60.  
  61.