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Text File  |  1990-08-05  |  2KB  |  61 lines
  1.    
  2.  
  3.  
  4.  
  5.                                   PC-INDEX 3.0
  6.                            Copyright (C) HELP SOFTWARE
  7.                                Registration Form:
  8.  
  9.  
  10.      Remit To:                    Help Software
  11.                                16706 Bradley Court
  12.                                 Belton, MO 64012
  13.  
  14.  
  15.             QTY  Description                                   Amount
  16.  
  17.             ___  Copie(s) of PC-INDEX 3.0 Disk and Manual      ______
  18.                  @ $45.00 each.
  19.                  
  20.             (Missouri Residents please add  6.475% sales tax)  ______
  21.  
  22.                  Add $3.00 for shipping and handling inside    ______
  23.                  the US.                                
  24.                  
  25.                  If outside the US add $6.00 for shipping      ______
  26.                  and handling.  
  27.  
  28.        
  29.  
  30.                                                         Total  ______
  31.  
  32.  
  33.       For those outside the US please pay by VISA / MC or pay 
  34.       with a check drawn on a US bank in US dollars.
  35.  
  36.  
  37.       Payment by:   [ ] Check   [ ] PO # ____________________________
  38.  
  39.       [ ] Visa/MC _________________   Expiration ____________________
  40.  
  41.       Name:    ______________________________________________________
  42.  
  43.       Company: ______________________________________________________
  44.  
  45.       Address: ______________________________________________________
  46.  
  47.                ______________________________________________________
  48.  
  49.                ______________________________________________________
  50.  
  51.  
  52.       Work Phone:  (____) ___________   Home Phone: (____) __________
  53.  
  54.       Disk Format: 3 1/2" ___   5 1/4" ___
  55.  
  56.       Word Processor and version Number: ____________________________
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