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Text File  |  1994-09-13  |  1.5 KB  |  48 lines
  1.         Program Registration - COMt  1.02
  2.  
  3. $15.95    Single User License
  4. $_____    MA residents add state sales tax ($0.80)
  5. $_____    Total
  6.  
  7. Make Check or Money Order payable to Performance Designs, 
  8. or provide the following Credit Card Information:
  9.  
  10. VISA/MasterCard (circle one)
  11. Card #        __________________________________________
  12. Expires        _____
  13. Signature    __________________________________________
  14.  
  15. Address/Phone:
  16.  
  17. Name        __________________________________________
  18. Company        __________________________________________
  19. Address        __________________________________________
  20.         __________________________________________
  21.         __________________________________________
  22. Phone        __________________________________________
  23. Email Address    __________________________________________
  24. Email Service    CompuServe  MCI-Mail  GEnie  Internet 
  25. (circle one)
  26.  
  27. Please include any comments or suggestions on the lines 
  28. which follow.  Use an additional page if necessary.
  29. _________________________________________________________
  30. _________________________________________________________
  31. _________________________________________________________
  32. _________________________________________________________
  33.  
  34. For information about volume discounts, site licenses, and 
  35. technical questions please contact Performance Designs.
  36.  
  37. Mail form to:    Performance Designs
  38.         P.O. Box 1005
  39.         Concord, MA 01742
  40.  
  41. If paying by credit card, this form can be emailed to:
  42.  
  43. CompuServe:    73017,1375
  44. MCI Mail:    572-1706
  45. GEnie:        PERFORM.DES
  46. Internet:    comt@world.std.com
  47.  
  48.