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Text File  |  1989-03-27  |  2KB  |  58 lines
  1.  
  2.                              CXL REGISTRATION FORM
  3.  
  4.  
  5.         NAME:     ______________________________________________________
  6.  
  7.         COMPANY:  ______________________________________________________
  8.  
  9.         ADDRESS:  ______________________________________________________
  10.  
  11.                   ______________________________________________________
  12.  
  13.         CITY:     ______________________________________________________
  14.  
  15.         STATE:    ________________________  ZIP CODE:  _________________
  16.  
  17.         PHONE:    ______________________________________________________
  18.  
  19.         E-MAIL ADDRESS:  _______________________________________________
  20.  
  21.         WHERE DID YOU RECEIVE CXL?  ____________________________________
  22.  
  23.         ________________________________________________________________
  24.  
  25.         COMMENTS:  _____________________________________________________
  26.  
  27.         ________________________________________________________________
  28.  
  29.         ________________________________________________________________
  30.  
  31.  
  32.         Basic Registration @ $35.00                          $__________
  33.             (Circle ONE library disk)
  34.  
  35.             Microsoft     Turbo      Zortech      Power
  36.  
  37.  
  38.         Additional Library Disks @ $5.00 each                 __________
  39.             (Circle each ADDITIONAL library disk)
  40.  
  41.             Microsoft     Turbo      Zortech      Power
  42.  
  43.  
  44.         3.5-Inch Floppy Disk Service @ $5.00                  __________
  45.  
  46.  
  47.         Non-US Shipping @ $5.00                               __________
  48.             (Payments must be in US Dollars, US bank)
  49.  
  50.  
  51.         5.0                                         TOTAL:   $__________
  52.  
  53.  
  54.         Remit to:         Mike Smedley
  55.                           P.O. Box 33603
  56.                           San Antonio, TX 78265-3603
  57.  
  58.