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Text File  |  1995-02-26  |  3KB  |  61 lines
  1.  IRDC                    *REGISTRATION FORM*                     IRDCw
  2.  INFRA-RED Direct Control         INFRA-RED Direct Control for WINDOWS
  3.  ---------------------------------------------------------------------
  4.  Complete this form and send with a Cheque/Money Order to:
  5.       DAVID HURAS                          +-----------------------+
  6.       37 Ruddell Crescent                  |  See REGISTER.CIS to  |
  7.       Georgetown, Ontario  L7G 5N4         |Register via CompuServe|
  8.       CANADA                               +-----------------------+
  9.                                 PRICE (each)
  10.                                USA   CANADA   OTHER  Quantity   Total
  11.  ----------------------------------------------------------------------
  12.  
  13.  ( ) IRDC(DOS) Registration  $25.00  $25.00  $25.00US  _____   $_______
  14.  ----------------------------------------------------
  15.  
  16.  ( ) IRDCw(WIN)Registration  $25.00  $25.00  $25.00US  ______  $_______
  17.  ----------------------------------------------------
  18.  
  19.  ( ) IRDCw + IRDC(DOS)       $40.00  $40.00  $40.00US  ______  $_______
  20.  ----------------------------------------------------
  21.  ( ) IRDC Discounted Reg.    $15.00  $15.00  $15.00US
  22.      IRDCw Serial #:_______________________(Required)  ______  $_______
  23.  ----------------------------------------------------
  24.  ( ) IRDCw Discounted Reg.   $15.00  $15.00  $15.00US
  25.      IRDC Serial #: _______________________(Required)  ______  $_______
  26.  ----------------------------------------------------
  27.      SPECIAL SERIAL CABLE
  28.      Call the Baran-Harper Group 1-800-661-6508
  29.      for availability and pricing information.
  30.  ----------------------------------------------------
  31.  
  32.        ADD SHIPPING ($0.00 CANADA/USA, $2.50 OTHER)            $_______
  33.  
  34.      TOTAL ENCLOSED............................................$_______
  35.  
  36.  PRICES are quoted by shipping destination.     +--------------------+
  37.  USA Prices are quoted in U.S. Dollars.         | Cheques must be    |
  38.  CANADIAN Prices are quoted in Canadian Dollars.| drawn on Banks in  |
  39.  OTHER Prices are quoted in U.S. Dollars.       | the USA or CANADA. |
  40.                                                 | Otherwise include a|
  41.  Shipping Address (PLEASE PRINT)                | Money Order-PLEASE |
  42.  ----------------                               | DO NOT SEND CASH   |
  43.                                                 +--------------------+
  44.  
  45.      Name:___________________________________________________________
  46.  
  47.   Company:___________________________________________________________
  48.  
  49.   Address:___________________________________________________________
  50.  
  51.           ___________________________________________________________
  52.  
  53.     Phone:(Voice)_________________ (FAX) ____________________________
  54.  
  55.    E-Mail:(Compuserve)__________________(Internet)___________________
  56.  
  57.           ( ) 3.5" Diskette  -OR-  ( ) 5.25" Diskette
  58.  
  59.                        THANK YOU FOR YOUR SUPPORT!          IRDC v2.11
  60.  
  61.