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Text File  |  1996-04-21  |  2KB  |  26 lines
  1. +----------- HQ-FAX / FAXHAVEN Shareware Registration & Order Form ------------+
  2. | FROM:        Registration key _______         TO:                            |
  3. | Name ....... ______________________________ |                                |
  4. | Company .... ______________________________ | HTF Consulting                 |
  5. | Address .... ______________________________ | 436 Whitehall Rd. Suite #F     |
  6. | City St Zip  ______________________________ | Alameda, CA. 94501             |
  7. | Voice number ______________________________ | (510) 521-1689                 |
  8. | FAX / E-mail ______________________________ | (510) 521-2987                 |
  9. |                                                                              |
  10. | FAX to:_ ___800.973.6334 *OR*_ ________540.937.3630 *OR*_ __________________ |
  11. |                                                                              |
  12. | PRODUCT: HQ-FAX($42.00)_  *OR* FAXHAVEN($62.00)_                             |
  13. | ADD'L FONTS: Standard add-on pack (TRomono,Swizmon,Procoor $25.00) _         |
  14. | Other add-on(s)_ __________________________________________________ $___.__  |
  15. | Diskette size: 3.5" _  or 5.25" _                                            |
  16. |                                                                              |
  17. | PAYMENT BY: VISA/MC/AMEX Acct. # ______________________  Exp date __/__      |
  18. |       *OR*: Bank (full) name _______________________________________________ |
  19. |             Bank Routing# ____________  Acct# _____________  Check# _______  |
  20. |                                                                              |
  21. | Add a shipping & handling charge of _ $3.00  *OR*  _ $7.00 outside the U.S.  |
  22. | (All prices in U.S. dollars) ... Total $___.__                               |
  23. |                                                                              |
  24. +----------- F1 = Help, F3 = Verify & Total, F8 = GO, <ESC> = Exit ------------+
  25. |                 Line 25 is a status line for error messages                  |
  26.