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Text File  |  1991-03-17  |  2KB  |  57 lines
  1.                           ┌─────────────────────┐
  2.                           │ O R D E R   F O R M │
  3.                           └─────────────────────┘
  4.  
  5.      To register this product please print out this order form and send
  6.      it with your check or money order to:
  7.  
  8.                            Scott Jibben
  9.                            7814 Yates Ave N
  10.                            Brooklyn Park MN  55443
  11.  
  12.  
  13.      FROM:
  14.  
  15.              Name: _________________________________________
  16.  
  17.         (Company): _________________________________________
  18.  
  19.           (Title): _________________________________________
  20.  
  21.           Address: _________________________________________
  22.  
  23.              City: _________________________________________
  24.  
  25.             State: _____________    Zip Code: ______________
  26.  
  27.           Country: _________________________________________
  28.  
  29.      Phone Number: _________________________________________
  30.  
  31.  
  32.      I would like to register:
  33.  
  34.      ______ copies of Zip Chunker @ $10 a copy =     ___________
  35.  
  36.             copies of Zip Chunker with an auto-
  37.      ______ upgrade to next version @ $20 a copy =   ___________
  38.  
  39.  
  40.                                            Total: ______________
  41.  
  42.  
  43.      Disk Size:     5.25"________  or  3.5"________
  44.  
  45.  
  46.      Where did you get Zip Chunker?
  47.      _______________________________________________________________
  48.      _______________________________________________________________
  49.  
  50.      Comments:
  51.      _______________________________________________________________
  52.      _______________________________________________________________
  53.      _______________________________________________________________
  54.      _______________________________________________________________
  55.      _______________________________________________________________
  56.      _______________________________________________________________
  57.