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/ The C Users' Group Library 1994 August / wc-cdrom-cusersgrouplibrary-1994-08.iso / vol_200 / 278_03 / register.doc < prev    next >
Text File  |  1990-02-14  |  2KB  |  59 lines
  1.  
  2.                                CXL REGISTRATION FORM
  3.  
  4.         NAME:     ______________________________________________________
  5.  
  6.         COMPANY:  ______________________________________________________
  7.  
  8.         ADDRESS:  ______________________________________________________
  9.  
  10.                   ______________________________________________________
  11.  
  12.         CITY:     ______________________________________________________
  13.  
  14.         STATE:    ________________________  ZIP CODE:  _________________
  15.  
  16.         PHONE:    ______________________________________________________
  17.  
  18.         E-MAIL ADDRESS:  _______________________________________________
  19.  
  20.         WHERE DID YOU RECEIVE CXL?  ____________________________________
  21.  
  22.         ________________________________________________________________
  23.  
  24.         COMMENTS:  _____________________________________________________
  25.  
  26.         ________________________________________________________________
  27.  
  28.  
  29.         Basic Registration @ $35.00                          $__________
  30.             (Circle ONE library disk)                        
  31.  
  32.             Microsoft     Turbo      Zortech      Power
  33.  
  34.         Additional Library Disks @ $5.00 Each                 __________
  35.             (Circle each ADDITIONAL library disk)
  36.  
  37.             Microsoft     Turbo      Zortech      Power
  38.  
  39.         3.5-Inch Floppy Disk Service @ $5.00                  __________
  40.             (Covers entire order)
  41.  
  42.         Shipping outside U.S. @ $5.00                         __________
  43.             (Payments MUST be in U.S. Dollars/U.S. Bank)
  44.  
  45.  
  46.                                                  SUBTOTAL:   $__________
  47.  
  48.         Texas Residents Add 8% State Sales Tax
  49.             $35 = $2.80 | $40 = $3.20 | $45 = $3.60           __________
  50.             $50 = $4.00 | $55 = $4.40 | $60 = $4.80
  51.  
  52.  
  53.         5.1                                         TOTAL:   $__________
  54.  
  55.         Remit to:         Mike Smedley
  56.                           P.O. Box 33603
  57.                           San Antonio, TX 78265-3603
  58.  
  59.