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REGISTER.DOC
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1990-03-20
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2KB
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49 lines
BAR TENDER REGISTRATION FORM
NAME: ______________________________________________________
COMPANY: __________________________________________________
ADDRESS: __________________________________________________
__________________________________________________
CITY: __________________________________________________
STATE: ________________________ ZIP CODE: _____________
PHONE: __________________________________________________
E-MAIL ADDRESS: ___________________________________________
WHERE DID YOU RECEIVE BAR TENDER? _________________________
____________________________________________________________
COMMENTS: _________________________________________________
____________________________________________________________
Basic Registration @ $20.00 $__________
Update Floppy Disk Service @ $5.00 $__________
Shipping outside U.S. @ $5.00 $__________
(Payments MUST be in U.S. Dollars/U.S. Bank)
SUBTOTAL: $__________
Utah Residents Add 6.25% State Sales Tax
($20 = $1.25 | $25 = $1.56) $__________
Number of copies x___________
1.45 TOTAL: $__________
Remit to: Kevin Vigor
129 South 700 East #4
Salt Lake City, Utah, 84102