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  1.          PCS IPF Editor Order and Registration Form
  2.  
  3. Perez Computing Services              Toll-free: 800-972-7434 (Orders Only)
  4. 4725 Monte Vista Pl.                  Questions: 301-983-9771
  5. Mount Vernon, WA 98273, USA
  6.                       
  7. Phone: (206) 428-5025
  8. Compuserve: 70410,2416
  9. Prodigy: GFKM03A
  10.  
  11.  
  12.   Please place a check mark in the boxes below and then add up the 
  13.   totals or call 1-206-428-5025 to order C.O.D. for faster delivery
  14.   or for Purchase Orders.
  15.  
  16. [ ] Registered IPF Editor 1.0 ($95)............................... ________
  17. [ ] Registered IPF Editor Printed Documentation ($30)............. ________
  18.  
  19.           
  20.                                         Shipping & Handling....... _$5.00__
  21.  International Shipping & Handling ($5, non-US orders only)....... ________
  22.                            Washington residents add 7.8% tax...... ________
  23.  
  24.                                                     Total enclosed ________
  25.  
  26.  
  27. Please select disk size:  5.25 High Density
  28.                           3.5  High Density
  29.                           3.5  Low Density
  30.  
  31.           Name: _______________________________________________
  32.  
  33.   Company Name: _______________________________________________
  34.  
  35.        Address: _______________________________________________
  36.  
  37.           City: _________________________
  38.  
  39.          State: ________              Zip: ____________
  40.  
  41.        Country: ____________________  Phone: __________________
  42.  
  43.  
  44. Payment by:  [ ] Check   [ ] Money order  
  45.  
  46. Please allow one to two weeks for delivery.  For faster delivery please call
  47. PCS.
  48.  
  49.