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Text File  |  1995-01-22  |  2KB  |  60 lines
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  4.                            ImageDex 2.4 Registration
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  6.                Send to:       Precision Imagery
  7.                               P.O. Box 20676
  8.                               Cranston, RI 02920
  9.                               USA
  10.  
  11. ------------------------------- Cut here 8< -------------------------------
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  14. ______    ImageDex Registration fee............ @ US $15.00 ea. $ _________
  15.  
  16. ______    ImageDex Bound Manual................ @ US  $5.00 ea. $ _________
  17.  
  18.           SHIPPING & HANDLING  
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  20.           North America: $3;   Outside: $5                      $ _________
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  23.                                                        SUBTOTAL $ _________
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  26.          Rhode Island residents add Sales Tax......@ 7% (ouch!) $ _________
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  30.                         TOTAL (U.S. funds drawn on a U.S. bank) $ _________
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  33. Name: _____________________________________________________________________
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  35. Company (ONLY if company address): ________________________________________
  36.  
  37. Address: __________________________________________________________________
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  39.          __________________________________________________________________
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  41.          __________________________________________________________________
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  43.   Phone: ____________________________        Fax: _________________________ 
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  45.   Email: ____________________________        BBS: _________________________ 
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  47.   Where did you get ImageDex? _____________________________________________
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  50. Problems, bugs, compliments, suggestions, flames: _________________________
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  52. ___________________________________________________________________________
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  54. ___________________________________________________________________________
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  56. ___________________________________________________________________________
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  58. ___________________________________________________________________________
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