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- SpaceBak REGISTRATION FORM
-
- Use this form to register your copy of SpaceBak and order the latest
- version directly from the MicroTools.
-
- NAME: _______________________________________________________
-
- COMPANY: _______________________________________________________
-
- ADDRESS: ___________________________ CITY/TOWN: ________________
-
- STATE: _____________ ZIP CODE: _________ COUNTRY: ____________
-
- TELEPHONE: ______________________ DISK SIZE: 5.25" ____ 3.50" ____
-
-
- MC __ VISA __ No.__________________________________ Expires ___/___
-
- SIGNATURE: _______________________________ DATE: __________________
-
-
-
- QTY DESCRIPTION PRICE TOTAL
-
- ___ SpaceBak software, manual, and phone support $25.00 ___.00
-
- (Connecticut residents, please add 6% sales tax) ______
-
- (Outside the U.S. please add $ 4.00 postage) ______
-
- TOTAL: ___.__
-
-
- Use this form as an invoice to your purchasing department
-
- :::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::
- INVOICE
- :::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::
-
- Remit Payment to: Ship to:
-
- MicroTools Inc ___________________________
-
- PO Box 624 ___________________________
-
- Simsbury CT 06070-0624 ___________________________
-
- 203-651-6170 Tel. ______________________
-
-
- ===================================================================
- To Purchasing, Accounts Payable:
-
- Note that SpaceBak has been delivered and accepted by the customer.
- Upon receipt of this paid invoice, a printed manual and the current
- disk will be sent.
- ===================================================================
-
-
- Volume discounts are available, please contact us.
-
-