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Text File  |  1991-09-01  |  2KB  |  63 lines

  1.                             mg⌠
  2.                               ⌡oftware
  3.           ------------------Order Form---------------------
  4.                            Courier v1.0
  5.                       Registration is US $35.00
  6.                  plus US $2.50 (US$3.50 OverSeas) for
  7.                         shipping and handling.
  8.  
  9.              To Order, Make check or money order out to:
  10.                             Michael Gillum
  11.                        20806 S. Western Ave. #1
  12.                           Torrance Ca. 90501
  13.                             (213) 787-0385
  14.   -----------------------------------------------------------------
  15.    Please send:
  16.  
  17.    ... Registration Number(s).......... $ 35.00 _______
  18.                   Shipping and Handling $  2.50
  19.                                          ($3.50 Overseas)
  20.                                                        
  21.                                         Total   _______
  22.  
  23.    Disk Size:  5.25" ______   3.5" ______
  24.  
  25.                             [Please Print]
  26.  
  27.    Name   :______________________________________________________
  28.  
  29.    Address:______________________________________________________
  30.  
  31.            ______________________________________________________
  32.  
  33.            ______________________________________________________
  34.  
  35.    Phone (Day):(____)______-_______  Evening:(____)______-_______
  36.  
  37.   I currently have version ______
  38.   (automatically updated, if different than the present version)
  39.  
  40.   Comments:_____________________________________________________
  41.  
  42.            _____________________________________________________
  43.  
  44.            _____________________________________________________
  45.  
  46.   [Optional]
  47.  
  48.   Computer Type:________________________________________________
  49.  
  50.   Modem Type And Speed:_________________________________________
  51.  
  52.   Color display [Y/N]: __
  53.  
  54.   Where did you hear about (or receive a copy of) Courier?
  55.  
  56.   [ ] BBS   Name______________________  Ph #(____)______-_______
  57.   [ ] Sig   Name________________________________________________
  58.   [ ] CompuServe
  59.   [ ] Friend
  60.   [ ] Other ____________________________________________________
  61.  
  62.                    Please Allow 30 days for shipment
  63.