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Text File  |  1989-09-29  |  2KB  |  44 lines
  1.  
  2.      │ 1 │             1 on 1 COMPUTER SOLUTIONS, INC.    
  3.    ──┼───┼──      
  4.      │ O │                  26 Finchwood Drive 
  5.    ──┼───┼──                Trumbull, CT  06611 
  6.    O │ N │ E                   (203) 375-0914 
  7.  ════════════════════════════════════════════════════════════════════════════
  8.  
  9.  
  10.                                REGISTRATION FORM   
  11.  
  12.  
  13.  
  14.       Name ________________________________________________    
  15.  
  16.       Title _______________________________________________ 
  17.  
  18.       Company _____________________________________________ 
  19.  
  20.       Street ______________________________________________ 
  21.  
  22.       City ________________________________________________ 
  23.  
  24.       State_______Zip_____________ Phone___________________    
  25.  
  26.  
  27.  
  28.                                                   Price   Quantity     Cost
  29.  ┌───┬────────────────────────────────────────┬─────────┬──────────┬──────────┐ 
  30.  │   │1 on 1 = 3!!                            │ $  69   │          │          │
  31.  └───┴────────────────────────────────────────┴─────────┴──────────┼──────────┤
  32.                                                        S B TOTAL   │          │
  33.  ║  │  │  │  ║  │  │  │  ║  │  │  │  ║  │  │  │  ║                 ├──────────┤
  34.  ╚══╧══╧══╧══╩══╧══╧══╧══╩══╧══╧══╧══╩══╧══╧══╧══╝                 │          │
  35.    Visa   Mastercard   American Express                            ├──────────┤
  36.                                            Connecticut Residents   │          │
  37.  ║  │  ║ ║  │  ║                                   add % 8.0 tax   └──────────┘
  38.  ╚══╧══╝ ╚══╧══╝ ─────────────────────────────────                              
  39.  Expiration      Signature                                         ┌──────────┐
  40.  Date                                                              │          │
  41.                                                       TOTAL COST   │          │
  42.                                                                    │          │
  43.                                                                    └──────────┘
  44.