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Text File  |  1995-12-18  |  2KB  |  59 lines
  1.  
  2.                        AHELP REGISTRATION AND ORDER FORM
  3.  
  4.     Send to:  MicroFox Co.               All Licences Include Source Code
  5.               P.O. Box 447
  6.               Richfield OH 44286-0447           DATE ____________________
  7.               U.S.A.
  8.     ........................................... PO # ____________________
  9.  
  10.     Order both S'87 and 5.x and take 50% off second license at same level
  11.  
  12.     Single-User License .............................. $95 U.S.
  13.  
  14.             Quantity:  Summer '87 ____   5.x ____       AMOUNT  _________
  15.  
  16.     Site License (unlimited use per site) ........... $400 U.S.
  17.  
  18.             Quantity:  Summer '87 ____   5.x ____       AMOUNT  _________
  19.  
  20.     Corporate License (unlimited within enterprise): $1000 U.S.
  21.  
  22.             Quantity:  Summer '87 ____   5.x ____       AMOUNT  _________
  23.  
  24.     Shipping and Handling charges:
  25.                         U.S.A. ...... $2 each         SHIPPING  _________
  26.                         Canada ...... $3 each
  27.                         All others .. $5 each
  28.                                                       SUBTOTAL  _________
  29.     *** ALL ORDERS MUST INCLUDE S&H ***                                             
  30.  
  31.     Ohio residents add 5.75% sales tax:              SALES TAX  _________
  32.     All prices are U.S. Dollars.
  33.  
  34.     Diskette size needed:  5.25" _____  3.5" _____       TOTAL  _________
  35.  
  36.     .....................................................................
  37.  
  38.     Payment:   P.O. __    Check __    Money Order __    Visa __    M/C __
  39.  
  40.  
  41.     MasterCard/Visa # ___________________________  Exp. Date ____________
  42.  
  43.  
  44.     Signature:___________________________________  (if credit card order)
  45.  
  46.     .....................................................................
  47.  
  48.     Ship To:     Name ___________________________________________________
  49.  
  50.               Company ___________________________________________________
  51.  
  52.               Address ___________________________________________________
  53.  
  54.                       ___________________________________________________
  55.  
  56.                       ___________________________________________________
  57.  
  58.                 Phone ___________________________________________________
  59.