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2000-06-16
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Product Registration (MAR491-1, Wonders of the Natural World)
Return this form to receive upgrades, discounts and new product information. Mail to:
Arc Media Inc., 5330 Main Street #210, Buffalo, NY 14221-5360, fax to: (416) 410-9651
or register on our web site: www.arcmedia.com
Name: _______________________________________________________________________________
Age: ____________ Occupation: ______________________________________________________
Street: ____________________________________________________________________________
City: ____________________________________________ State: __________________________
Country: _________________________________ ZIP/Postal Code: ________________________
Telephone: ___________________________ Fax: ________________________________________
E-mail: _____________________________________________________________________________
Platform: [ ] Macintosh [ ] Windows 95 [ ] Windows 98 [ ] Windows NT
Please rate this product: [ ] Excellent [ ] Good [ ] Poor
Comments: ___________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
ORDER FORM:
Title Name Part # Qty
1________________________________________________ ___________________ _________
2________________________________________________ ___________________ _________
3________________________________________________ ___________________ _________
Order Paid by: [ ] Check [ ] Money Order [ ] MasterCard [ ] Visa [ ] Amex
Credit Card #: _______________________ Name: _______________________________
Expiry Date: _____________________ Signature: ______________________________
Please make check or money order payable to ARC MEDIA INC.
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