home *** CD-ROM | disk | FTP | other *** search
/ Precision Software Appli…tions Silver Collection 4 / Precision Software Applications Silver Collection Volume 4 (1993).iso / accounts / pcbgt26a.exe / REG.FRM < prev   
Text File  |  1992-09-24  |  1KB  |  50 lines
  1.  
  2.                        PCBUDGET Order Form
  3.  
  4.           Registration fee $35.00 each:                $________
  5.  
  6.           Ohio residents add 5.5% sales tax:           $________
  7.  
  8.           Shipping and handling each:                  $________
  9.           ($2.00 in USA $5.00 Outside)
  10.  
  11.           Total Due:                                   $________
  12.  
  13.  
  14.      Fill out this form and return it along with your check
  15.      or Money order payable to ProLogic Software in US
  16.      currency to:
  17.  
  18.                      ProLogic Software, Inc.
  19.                            P.O. Box 71
  20.                        Loveland, OH  45140
  21.  
  22.          
  23.      Name:________________________________________
  24.  
  25.      Company:_____________________________________
  26.  
  27.      Street Address:______________________________
  28.  
  29.      City:________________________________________
  30.  
  31.      State:_____________ Zip Code:________________
  32.  
  33.      Telephone number:____________________________
  34.  
  35.      Where did you receive your copy of PCBUDGET:
  36.  
  37.      __________________________________________________________
  38.  
  39.      Version number:________
  40.  
  41.      Disk preference:   3.5"   5.25"  (circle one)
  42.  
  43.      Comments:_________________________________________________
  44.  
  45.      __________________________________________________________
  46.  
  47.      __________________________________________________________
  48.          
  49.      __________________________________________________________
  50.