home *** CD-ROM | disk | FTP | other *** search
/ Network CD 1 / Network CD.iso / term / registration < prev    next >
Text File  |  1993-07-05  |  1KB  |  59 lines
  1.                                                         Order Form #3158-EE
  2.  
  3.  
  4.                         * Terminus 2.0, July 1993 *
  5.  
  6.                      - Single User License Order Form -
  7.  
  8.                Remit to:      Dynalogic
  9.                               P.O. Box 444
  10.                               Ocean City, NJ 08226
  11.                               USA
  12.  
  13. ---------------------------------------------------------------------------
  14.  
  15.  
  16.  
  17. ______    Terminus 2.0 Single User License...... @ US$40.00 ea. $ _________
  18.  
  19.  
  20. ______    JR-Comm to Terminus 2.0 upgrade....... @ US$10.00 ea. $ _________
  21.           (registered JR-Comm users only)
  22.  
  23.  
  24.  
  25.           SHIPPING & HANDLING (each copy) 
  26.  
  27.           North America: $2;   Outside: $5                      $ _________
  28.  
  29.  
  30.  
  31.                                                        SUBTOTAL $ _________
  32.  
  33.  
  34.  
  35.          New Jersey residents add Sales Tax.............. @ 6%  $ _________
  36.  
  37.  
  38.  
  39.                         TOTAL (U.S. funds drawn on a U.S. bank) $ _________
  40.  
  41.  
  42.  
  43. Name: _____________________________________________________________________
  44.  
  45. Company (ONLY if company address): ________________________________________
  46.  
  47. Address: __________________________________________________________________
  48.  
  49.          __________________________________________________________________
  50.  
  51.          __________________________________________________________________
  52.  
  53.   Phone: _________________________
  54.  
  55.  
  56.                 PRICES ARE SUBJECT TO CHANGE WITHOUT NOTICE
  57.  
  58.  
  59.