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Text File  |  1992-10-20  |  2KB  |  66 lines
  1.                       Syntax Registration Form
  2.  
  3.  
  4.  
  5. Syntax Compiler and Viewer
  6.    Quantity ________ x $69   =          $  ________
  7.  
  8. Additional Viewers
  9.    Quantity ________ x $10   =          $  ________
  10.  
  11. Shipping (U.S. $4.00, Canada and 
  12.   Mexico $6.00, Others $8.00)           $  ________
  13.  
  14. New Jersey Residents please add 6%
  15. sales tax                               $  ________
  16.  
  17. Total                                   $  ________
  18.  
  19.  
  20. Please include a Check or Money Order made payable to
  21. Dialectic Systems, Inc.
  22.  
  23.  
  24.  
  25.           Diskette size: [  ] 3.5"   [  ] 5.25" 
  26.  
  27.  Name     _______________________________________________
  28.  Company  _______________________________________________
  29.  Address  _______________________________________________
  30.           _______________________________________________
  31.           _______________________________________________
  32.  Phone    _______________________________________________
  33.  
  34. I have read and agree to abide by the license agreement:
  35.  
  36.  Signature  _____________________________________________
  37.  
  38.  
  39. Where did you get Syntax?  ______________________________
  40.  
  41. If you received Syntax from a BBS, what is its complete
  42. name and phone number?___________________________________
  43. _________________________________________________________
  44.  
  45. Please include any comments or suggestions on the lines
  46. which follow.  Use an additional page if necessary.
  47. _________________________________________________________
  48. _________________________________________________________
  49. _________________________________________________________
  50. _________________________________________________________
  51. _________________________________________________________
  52. _________________________________________________________
  53. _________________________________________________________
  54. _________________________________________________________
  55.  
  56. For information about volume discounts, site  licenses, and
  57. technical questions please contact Dialectic Systems, Inc.
  58.  
  59. Mail this form to:  Dialectic Systems, Inc.
  60.                     1 Shelter Rock Pl.
  61.                     Moorestown, NJ  08057-2115
  62.  
  63.  
  64. Copyright 1992 Dialectic Systems, Inc.
  65. Copyright 1992 WriteWare, Inc.
  66.