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Text File  |  1992-03-17  |  4KB  |  61 lines
  1.  
  2.  ##########################################################################
  3.  #                                                                        #
  4.  #    Smart -N- Easy tm  PARTY PLANNER               Registration Form    #
  5.  #                                                                        #
  6.  ##########################################################################
  7.  #                                                                        #
  8.  #    Company Name _____________________________________________________  #
  9.  #                                                                        #
  10.  #    First Name ____________________ Last Name ________________________  #
  11.  #                                                                        #
  12.  #    Address __________________________________________________________  #
  13.  #                                                                        #
  14.  #    City _________________________ State _______ Zip _________________  #
  15.  #                                                                        #
  16.  #    Day Phone (______) ____________  Night Phone (______) ____________  #
  17.  #                                                                        #
  18.  ##########################################################################
  19.  #                                                                        #
  20.  #    Disk Size  _____ 5.25"   _____ 3.5"                                 #
  21.  #                                                                        #
  22.  #    How did you first learn of this product?                            #
  23.  #                                                                        #
  24.  #    _____ Magazine   _____ Newspaper   _____ Exhibition  _____ Review   #
  25.  #                                                                        #
  26.  #    Name of distributer purchased from: ______________________________  #
  27.  #                                                                        #
  28.  #    Why did you choose Smart -N- Easy?    (check all that apply)        #
  29.  #                                                                        #
  30.  #    _____ Performance  _____ Price  _____ Quality  _____ Reliability    #
  31.  #                                                                        #
  32.  #    _____ Recommendation   (other)____________________________________  #
  33.  #                                                                        #
  34.  #    Primary usage in:  _____ Home     _____ Wedding Related Business    #
  35.  #                                                                        #
  36.  #    Would you like to receive a free demo disk of our baby planner or   #
  37.  #    wedding planner?                                                    #
  38.  #                                                          Yes  No       #
  39.  ##########################################################################
  40.  #                                                                        #
  41.  #    _____ Enclosed is payment in check or money order for $15.00        #
  42.  #          Please ship my registered version promptly.                   #
  43.  #                                                                        #
  44.  #    _____ Please promptly ship my registered version C.O.D. at          #
  45.  #          $15.00 plus $3.50 C.O.D. charges (total $18.50)               #
  46.  #                                                                        #
  47.  #    NJ residents please add 7% sales tax ($1.05).                       #
  48.  #    If ordering outside of The U.S., please add $5. for shipping.       #
  49.  ##########################################################################
  50.  #                                                                        #
  51.  #    Send orders to: AUTOMATED SYSTEMS Dept. 3                           #
  52.  #                    PO BOX 503                                          #
  53.  #                    WEST PATERSON, NJ 07424                             #
  54.  #                                                                        #
  55.  #    FOR FASTER SERVICE, YOU MAY PHONE-IN ORDERS: (201) 812-1428         #
  56.  #                                                                        #
  57.  #                                                                        #
  58.  #                     Thank you for your support.                        #
  59.  ##########################################################################
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