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REGIST.FRM
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Text File
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1990-11-22
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4KB
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115 lines
LOGIVISION REGISTRATION FORM -- INVOICE
Company Name: _________________________________ DATE: _____________
Your Name: _________________________________
Address: _________________________________
City: _________________________________ Diskette size:
Prov./State: _________________________________ ( ) 3 1/2 (720K)
Postal/Zip Code: _________________________________ ( ) 3 1/4 (1.4M)
Telephone: _________________________________ ( ) 5 1/4 (360K)
Fax: _________________________________ ( ) 5 1/4 (1.2M)
Product Name: __LOGIMENU_______________________
Version : _____________________ CODE: _____________
(code from solicitation screen)
REGISTRATION PRICE LIST
Number of users (copies) Price per copy
1 $ 50.00
2 to 10 45.00
OVER 10 CALL
QTY
LOGIMENU registration (Price as per
table above) Includes latest version of the
program diskette, with manual.
_______ X $_______________
CANADA & USA, Add $5 for Postage and Handling
Overseas, add $10. $_______________
Quebec Residents add 9% sales tax $_______________
Canadian residents add 7% GST after Jan 1, 1991 $_______________
(MAY BE -- CHECK IT)
TOTAL ENCLOSED ========================= $_______________
Payment by: ( ) Check ( ) M. Order ( ) MC ( ) Visa ( ) Amex
Card #: _________________________________ Exp. Date: __________________
Signature of Cardholder: _______________________________________________
Upon reception of payment, Logivision issues the Registration number
and the key code. The solicitation window will then disappear. One manual
and one disk (per order) of the latest version will be sent to you with
the Registration number.
Send to: LOGIVISION INC.
P.O. Box 396,
Sherbrooke, Quebec, Canada,
J1H 5J7
Form: C009
The following information is used to give you a better
support. When we, at LOGIVISION, have an update for your
type of computer, monitor, memory size, video card or
type of printer, we will send you the information.
Type of computer ____________________________________
Type of monitor ____________________________________
Memory size ____________________________________
Video card ____________________________________
Type of printer ____________________________________
Where did you find this product? _______________________
Your comments are important to us. They help us to build a
a better library for you to enjoy.
What do you think about our product? How can we enhance it?
COMMENTS:______________________________________________________
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________
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