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Text File  |  1989-11-11  |  4KB  |  61 lines
  1.            F L O D R A W   2 . 1    R E G I S T R A T I O N   F O R M
  2.          
  3.        Send this form                         Date: ______________
  4.        with payment to:
  5.         
  6.        George Freund                          Federal Employer ID No.
  7.        P.O. Box 203                           Use SSN 160-36-5172           
  8.        Mentor, Ohio 44061
  9.          
  10.        Please register my copy(s) of FLODRAW to:
  11.       
  12.        Name    _____________________________________________________
  13.       
  14.        Company _____________________________________________________
  15.       
  16.        Address _____________________________________________________
  17.       
  18.        City    ___________________________ State _____   Zip _______  
  19.          
  20.    +------------------------------------------------------------------------+
  21.    |                                                       Unit    Extended |
  22.    |    Qty   Description                                  Price     Price  |
  23.    +------------------------------------------------------------------------+
  24.    |                                                                        |
  25.    |    ____  FLODRAW 2 Registration package              $35.00   ________ |
  26.    |          Includes program disk and printed manual                      |
  27.    |          Disk size?   5 1/4___   3 1/2___                              |
  28.    |                                                                        |
  29.    |          Discount for 5 or more registrations         - ________ |
  30.    |          (total of registration pkgs & registrations below)        |
  31.    |          For 5 to 9 registrations ..... deduct 20%            |
  32.    |          For 10 to 24 registrations ... deduct 25%            |
  33.    |          For 25 to 49 registrations ... deduct 30%            |
  34.    |          For 50 registrations or more . deduct 35%            |
  35.    |                                                                        |
  36.    |          Ohio residents, please add 5.75% sales tax         + ________ |
  37.    |                                                                        |
  38.    |          Shipping & handling for registration pkg order     +     2.50 |
  39.    |                                                                        |
  40.    |          Orders outside U.S. and Canada, please include     + ________ |
  41.    |          additional $2.50 shipping & handling                          |
  42.    +------------------------------------------------------------------------+
  43.    |                                                                        |
  44.    |    ____  FLODRAW 2 Registration only                 $25.00   ________ |
  45.    |          Does not include disk or printed manual                       |
  46.    |                                                                        |
  47.    |          Discount (See discount schedule above)             - ________ |
  48.    +------------------------------------------------------------------------+
  49.    |                                                                        |
  50.    |          Total amount enclosed                                ________ |
  51.    |                                                                        |
  52.    |    Payment: MasterCard__  VISA__  Check__ (US funds on US bank, please)|
  53.    |                                                                        |
  54.    |    Card number_________________________________  Exp. Date____________ |
  55.    |                                                                        |
  56.    |                                                                        |
  57.    |    Signature__________________________________________________________ |
  58.    |                                                                        |
  59.    +------------------------------------------------------------------------+
  60. 
  61.