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Text File  |  1992-03-18  |  1KB  |  48 lines
  1.  
  2.  
  3.                                 Order Form
  4.  
  5.                       CVO Utilities Registration Form
  6.  
  7.  
  8.      Name:          ______________________________________
  9.  
  10.      Address:       ______________________________________
  11.  
  12.                     ______________________________________
  13.  
  14.      City:          ______________________________________
  15.  
  16.      State:         __________________________ Zip: ______
  17.  
  18.      Telephone:     ______________________________________
  19.  
  20.  
  21.      Item                                      Quantity      Total
  22.      --------------------------------------------------------------
  23.  
  24.      One-time fee for the first machine.........   1         $  30
  25.  
  26.      for multi-users only:
  27.      $ 5 fee per machine using this software
  28.      within the same organization...............
  29.  
  30.      --------------------------------------------------------------
  31.      Total Due:                                           _________
  32.  
  33.  
  34.      Payment thru:     VISA
  35.                    or  check
  36.  
  37.  
  38.      Preferred Disk Size:  3.5" ____  5.25" ____
  39.  
  40.  
  41.      Mail Completed Form to:
  42.  
  43.  
  44.                   DPTool Club
  45.                   BP 745
  46.                   59657 Villeneuve d'Asq
  47.                   FRANCE
  48.