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Text File  |  1992-09-03  |  5KB  |  70 lines

  1.  
  2.  ##########################################################################
  3.  #                                                                        #
  4.  #             THE ORDER PRO version 2.0   Registration Form              #
  5.  #                                                                        #
  6.  ##########################################################################
  7.  #                                                                        #
  8.  #                                                                        #
  9.  #    Company Name _____________________________________________________  #
  10.  #                                                                        #
  11.  #    Last Name ____________________ First Name ________________________  #
  12.  #                                                                        #
  13.  #    Address __________________________________________________________  #
  14.  #                                                                        #
  15.  #    City _________________________ State _______ Zip _________________  #
  16.  #                                                                        #
  17.  #    Day Phone (______) ____________  Night Phone (______) ____________  #
  18.  #                                                                        #
  19.  ##########################################################################
  20.  #                                                                        #
  21.  #                                                                        #
  22.  #    Computer Type ____________________________________________________  #
  23.  #                                                                        #
  24.  #    Disk Size  _____ 5.25"   _____ 3.5"                                 #
  25.  #                                                                        #
  26.  #    How did you first learn of this product?                            #
  27.  #                                                                        #
  28.  #    _____ Magazine   _____ Newspaper   _____ Exhibition  _____ Review   #
  29.  #                                                                        #
  30.  #    Name of distributor purchased from: ______________________________  #
  31.  #                                                                        #
  32.  #    Why did you choose THE ORDER PRO?   (check all that apply)          #
  33.  #                                                                        #
  34.  #    _____ Performance  _____ Price  _____ Quality  _____ Reliability    #
  35.  #                                                                        #
  36.  #    _____ Recommendation   (other)____________________________________  #
  37.  #                                                                        #
  38.  #    Primary usage in:  _____ Small business    _____ Mid-size business  #
  39.  #                                                                        #
  40.  #                       _____ Home   (other)___________________________  #
  41.  #                                                                        #
  42.  ##########################################################################
  43.  #                                                                        #
  44.  #                                                                        #
  45.  #    _____ Enclosed is payment in check or money order for $99.95-US     #
  46.  #          Please ship my registered version promptly.                   #
  47.  #                                                                        #
  48.  #          If ordering outside of The U.S. add $8. for shipping.
  49.  
  50.  #    _____ Please charge it to my:  ____VISA   ____MASTERCARD            #
  51.  #                                                                        #
  52.  #          CARD # ___________________________________________            #
  53.  #                                                                        #
  54.  #          EXPIRATION DATE:______________                                #
  55.  #                                                                        #
  56.  #          SIGNATURE:________________________________________            #
  57.  ##########################################################################
  58.  #                                                                        #
  59.  #    Send orders to: AUTOMATED SYSTEMS                                   #
  60.  #                    P.O. BOX 503                                        #
  61.  #                    WEST PATERSON, NJ 07424                             #
  62.  #                                                                        #
  63.  #    FOR FASTER SERVICE, YOU MAY PHONE-IN ORDERS: (201) 812-1428         #
  64.  #                                                                        #
  65.  #           Congratulations on automating your business!                 #
  66.  #                   Thank you for your support.                          #
  67.  #                                                                        #
  68.  ##########################################################################
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