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Text File  |  1988-01-10  |  3KB  |  72 lines
  1.  
  2.                      LET YOUR PRINTER DO ALL THE WORK!!!
  3.  
  4.          -------------------  INSTANT MAILER  ----------------------
  5.               Please support quality shareware by registering it.
  6.                         We thank you for your support.
  7.  
  8.                             DSZ Registration form
  9.  
  10. Remit To:           Omen Technology INC
  11.                     POB 4681
  12.                     Portland OR  97208-4681
  13.  
  14.     DSZ Quantity Discount Schedule, (per purchase).
  15.  
  16.       1       $20.00   2-10    $18.00   11-49   $15.00   50-99   $13.00
  17.       100-199 $12.00   200-499 $10.00   500-999 $ 8.00   1000+   $ 5.00
  18.  
  19.  
  20. ____ DSZ Registration(s) & Disk (5.25 in)            $20.00  or  ______
  21.  
  22.      Shipping and Handling UNLESS check enclosed     $ 5.00  or  ______
  23.  
  24.                                Total (card/c.o.d.)   $25.00  or  ______
  25.                                ($20.00 check/money order)
  26.  
  27. Payment by:  Check (U.S. bank or branch) enclosed [ ]    MC [ ]     VISA [ ]
  28.  
  29. Use Address on check [ ]  or:
  30.  
  31. Name     ___________________________________________________________________
  32.  
  33. Company  ___________________________________________________________________
  34.  
  35. Address  ___________________________________________________________________
  36.  
  37.           __________________________________________________________________
  38.  
  39.           __________________________________________________________________
  40.  
  41.          ..... Following only needed for Credit Card or UPS COD .....
  42.  
  43. Work Phone  (____) __________________  Home Phone   (____)  ________________
  44.  
  45. Card #  _____________________________________________  Expires _____________
  46.  
  47. Name of Cardholder  ________________________________________________________
  48.  
  49. Signature __________________________________________________________________
  50.  
  51.  
  52.     -------------------  INSTANT MAILER  ----------------------
  53.  
  54. Fold at the page break below with the printing facing out.  Then fold
  55. letter style, exposing the mailing address and hiding your information.
  56. Staple check (if used) to the mailer, then staple or tape sides and top.
  57.  
  58. _________________________________                                     Place
  59.  
  60. _________________________________                                     Stamp
  61.  
  62. _________________________________                                     Here
  63.  
  64.  
  65.  
  66.  
  67.  
  68.                                          Omen Technology INC (D)
  69.                                          Post Office Box 4681
  70.                                          Portland OR  97208-4681
  71.  
  72.