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Text File  |  1995-10-30  |  2KB  |  62 lines
  1.                              Impress Technologies
  2.                 Shareware Registration Form for Quotable Quotes
  3.                 -----------------------------------------------
  4.  
  5.  Return this form along with your remittance to:
  6.  
  7.      Impress Technologies
  8.      P.O. Box 182
  9.      Adelphia, New Jersey 07710-0182  USA
  10.  
  11.  Special prices/discounts on quantity orders is available.
  12.  Please call or write to our Customer Service Department for
  13.  details: (908) 367-0757 
  14.  
  15.  I would like to register the following (check desired items below):
  16.  
  17.  ____ Copy(s) Of Quotable Quotes Version 1.1 @ $10.00 ea        $ _________
  18.       Media Size 3.5 or 5.25 _______
  19.  
  20.   Shipping (Per Item)........................... @ 3.00 ea      $ _________
  21.  (U.S. and Canada, $3.00 Per Item; All Other Countries, $6.00)
  22.  
  23.                                                      Subtotal   $ _________
  24.  
  25.  ____ New Jersey Residents please add State Sales Tax ..@ 6.0%  $ _________
  26.  
  27.                                        Total (U.S. Funds)       $ _________
  28.  
  29.  Payment by:  ( )Check ( ) Money Order
  30.  
  31.  
  32.  
  33.                            Ship To Information
  34.                         -> Please Type Or Print <-
  35.                            --------------------
  36.  
  37.     Name: ____________________________________________________________
  38.  
  39.  Company:_____________________________________________________________
  40.  
  41.  Address: ____________________________________________________________
  42.  
  43.         : ____________________________________________________________
  44.  
  45.  Phone W: _________________________ Eve: _____________________________
  46.  
  47.    Fax #: _________________________
  48.  
  49.         Please help us determine the distribution of our software
  50.         ----------------------------------------------------------
  51.          Check The Box Below That Most Accurately Describes Where
  52.          You Acquired This Program.
  53.          [ ] - Local BBS                       [ ] - Shareware Catalog
  54.          [ ] - User Group                      [ ] - Software Store
  55.          [ ] - CIS or Other National BBS       [ ] - PC SIG Disk
  56.          [ ] - GENie                           [ ] - America On-Line
  57.          [ ] - Other - Please Specify ________________________________
  58.  
  59.  Please use the space below to provide us with any suggestions or
  60.  problems you have encountered. Your support is greatly appreciated!
  61.  ----------------------------------------------------------------------------
  62.