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Text File  |  1994-04-09  |  2KB  |  37 lines
  1.                       Howard L. McHenry Services (c) 1991
  2.  
  3.  
  4.       Cardx version 13.5E                              Site License Form
  5.       ------------------------------------------------------------------
  6.         Make check payable to:
  7.           Howard L. McHenry Services
  8.           P. O. Box 123
  9.           Vandergrift, PA.
  10.                                15690
  11.       ------------------------------------------------------------------
  12.         Unprotected with no locks or keys, unlimited use by all and
  13.         any ______________________________ employees on the company
  14.         property.
  15.  
  16.         $200.00 for one master copy disk.                   $ ________
  17.  
  18.         Pennsylvania residents please add sales tax at 6%   $ ________
  19.  
  20.                                           Total (U.S.Funds) $ ________
  21.                                           drawn on U.S.Bank
  22.         Disk:  [ ]  5 1/4" DS/DD  -  [ ]  5 1/4" DS/HD  -  [ ]  3 1/2"
  23.       ------------------------------------------------------------------
  24.  
  25.              Name______________________________________________________
  26.  
  27.           Company______________________________________________________
  28.  
  29.           Address______________________________________________________
  30.  
  31.                  ______________________________________________________
  32.  
  33.             Phone_________________________  Bus._______________________
  34.  
  35.             Signature of registers name________________________________
  36.       ------------------------------------------------------------------
  37.