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Text File  |  1990-10-08  |  2KB  |  60 lines
  1.    PAK version 2.51                                Registration Form
  2.    -----------------------------------------------------------------
  3.      Make checks payable to:
  4.        NoGate Consulting
  5.        P.O. Box 88115
  6.        Grand Rapids, MI 49518-0115
  7.    -----------------------------------------------------------------
  8.    Qty
  9.    ___ Command line edition of PAK        @ $15 each         $______
  10.    ___ Full screen edition of PAK (PAKF)  @ $30 each         $______
  11.    ___ Programmer's edition of PAK        @ $75 each         $______
  12.                                                 Subtotal     $______
  13.        Michigan residents please add 4% sales tax.           $______
  14.  
  15.        Shipping and handling - inside the United States        $3.50
  16.                                                               - or -
  17.                              - overseas                        $5.00
  18.  
  19.        Credit Card orders add 3% surcharge                   $______
  20.  
  21.                                                      Total   $______
  22.  
  23.      Diskette type (check or circle one):   [ ] 5.25"  [ ] 3.5"
  24.  
  25.      Payment: (check or circle one):
  26.      [ ] Check  [ ] Money Order  [ ] Visa  [ ] MasterCard [ ] AmEx
  27.  
  28.      Credit Card #__________________________________________________
  29.  
  30.      Expiration Date _______  Signature ____________________________
  31.  
  32.      Credit Card Orders may be made by phone - (616)455-6270
  33.                        or via the NoGate BBS - (616)455-5179
  34.                                   or via FAX - (616)455-8491
  35.  
  36.    Checks and Money Orders must be drawn on U.S. banks in U.S. funds
  37.    -----------------------------------------------------------------
  38.  
  39.          Name_______________________________________________________
  40.  
  41.       Company_______________________________________________________
  42.  
  43.       Address_______________________________________________________
  44.  
  45.              ______________________________________________________
  46.  
  47.         Phone_________________________  Bus.________________________
  48.  
  49.     Where did you obtain PAK?
  50.  
  51.              _______________________________________________________
  52.  
  53.      Comments_______________________________________________________
  54.  
  55.              _______________________________________________________
  56.  
  57.              _______________________________________________________
  58.  
  59.    -----------------------------------------------------------------
  60.