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Text File  |  1991-11-18  |  1KB  |  44 lines

  1.  
  2.  
  3.                                  REGISTRATION
  4.  
  5.  
  6.                 MuTech                            Date ______________
  7.                 P.O.B. 894
  8.                 Joshua Tree, CA 92252
  9.  
  10.  
  11.                 Register to _________________________________________
  12.  
  13.  
  14.                 Ship to     _________________________________________
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  16.  
  17.                             _________________________________________
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  19.  
  20.                             _________________________________________
  21.  
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  23.                             _________________________________________
  24.  
  25.  
  26.                                        Description
  27.  
  28.                       Product               Qty     Price    Amount
  29.  
  30.                 Generation Gap (Package)    ___     $25.00   ________
  31.                 contains both GenGap & GGCL
  32.  
  33.                 GenGap (Interactive)        ___     $15.00   ________
  34.  
  35.                 GGCL (Command Line)         ___     $15.00   ________
  36.  
  37.                 Subtotal                                    _________
  38.  
  39.                 Minus Discount for site (15% over 3)         ________
  40.  
  41.                 Total Remittance                            _________
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