REGISTRATION FORM - PCX


MAIL FORM & CHECK TO:              SHIP CLIP ART PACKAGE TO:

Ray Litman Photo Graphic      ____________________________________ 
  
P.O. Box 5031                                               
Glendale, AZ 85312-5031       ____________________________________

 Your Phone Number            ____________________________________
            
 ____ - ____ - _________      ____________________________________

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Registration Only                  $18.50         

       (AZ, state & local tax)       1.24
  Total for in AZ registration     $19.74

I am registering MEDSET PCX:  1A  2A  3A  4A  5A  6A  (Circle one)
_________________________________________________________________
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SAVE $12.50 - ORDER NOW, WITH REGISTRATION: (Mark Disk Type Below)

I want to order the bonus clip art & support package.

Registration & Bonus Pack          $30.00         
 Shipping & Handling                 3.50
                         Total     $33.50      

(order to AZ state & local tax)      2.01
  Total for AZ order.              $35.51

Bonus Pack 140+ clip art, printed users manual with all of
MEDSET*'s
printed in "Image Gallery". Custom Color Palettes.  
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AFTER REGISTRATION ORDER: (Mark Disk Type Below)

I am a registered user of MEDSET ____: Please ship its Bonus Pack 

 
 Bonus Pack                        $24.00         
 Shipping & Handling                 3.50
                         Total     $27.50      

(order to AZ state & local tax)      1.61
  Total for AZ order.              $29.11
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Send my: additional clip art in disk size:   5.25   3.5  (Circle
one)

Format:  High Density    Low Density   (Circle one - Low if unsure)

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