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Text File  |  1993-02-27  |  1KB  |  51 lines

  1.  
  2. VideoBASE v1.0 for Windows Registration Form
  3.  
  4. METHODS OF PAYMENT:
  5.  
  6.    1. Cash
  7.    2. Check
  8.    3. Postal Money Order
  9.  
  10. UPGRADES:
  11.  
  12. For information on upgrade policy, see the section entitled UPGRADES
  13. in the VideoBASE online help system.
  14.  
  15.  
  16. SEND ORDER TO:
  17.  
  18. Dale W. Eckert
  19. 6527 Gillmore Drive
  20. Regina, Saskatchewan
  21. Canada
  22. S4X 3Z3
  23.  
  24.  
  25. Prices guaranteed through December 1993.
  26.  
  27. VideoBASE single copy: Quantity _____ @ $29.95 each = _________
  28. Shipping and Handling:                  $ 5.00      =     $5.00
  29.                                       Total Payment = _________
  30.  
  31. Name: ________________________________  Date: _________________
  32. Address: _____________________________
  33. City:    _____________________________
  34. State or Province: ___________________
  35. Country: __________
  36. Day Phone: _____________________ Evening Phone: _______________
  37.  
  38. Electronic Mail Address: ______________________________________
  39. How did you hear about VideoBASE? _____________________________
  40.  
  41. Comments:
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