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ORDER.FRM
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1991-07-05
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Send to: DJS Applications Order Form
P.O. Box 1406
Jesup, Ga 31545
Please send:
Copies Price Total
Registration version 5.0 ___ x $99.95 = _________
(includes version 2.6 & 5.0 and
printed manual)
Other Help System Discount ___ x -25.00 = _________
(Product : _____________________ )
Shipping and handling ___ x $2.00 = _________
Georgia residents must add
$3.10 (5%) State sales tax. ___ x ______ = _________
Total Sent _________
Site licenses are available for a flat $500.00 per building,
please write for more information.
Name : _______________________________________________
Company: _______________________________________________
Address: _______________________________________________
: _______________________________________________
City : ____________________ State: ____ Zip: ________
Day Phone: _____________________________________________
Eve Phone: _____________________________________________