home *** CD-ROM | disk | FTP | other *** search
/ The World of Computer Software / World_Of_Computer_Software-02-385-Vol-1of3.iso / d / dicogo.zip / ORDER.FRM < prev    next >
Text File  |  1991-09-30  |  2KB  |  41 lines
  1.     **********************************************************************
  2.                        DICOGO 3.0 Registration Form
  3.     **********************************************************************
  4.  
  5.  
  6.                Remit to:            D I Management Corporation
  7.                                     P.O. Box 429152
  8.                                     Cincinnati, Ohio 45242
  9.  
  10.                            LIMITATION OF LIABILITY
  11.  
  12.         DICOGO is distributed as is.  D I Management Corporation will
  13.         assume no liability for damages either from the direct use of this
  14.         product or as a consequence of the use of this product.  See
  15.         WARRANTY.DOC in the distribution package for specific details.
  16.  
  17.                               Qty. _____ @ $199.00 ea.      = ___________
  18.  
  19.          Applicable sales tax -- Ohio residents:               ___________
  20.  
  21.                               Shipping & handling                     5.00
  22.  
  23.  
  24.                                                 Total Payment: $__________
  25.  
  26.         PAYMENT MUST BE IN US DOLLARS, CHECK OR MONEY ORDER, DRAWN
  27.         ON A US BANK.
  28.  
  29.         Allow 2 - 3 weeks for delivery.
  30.  
  31.              Name:  ___________________________________________________
  32.  
  33.           Company:  ___________________________________________________
  34.  
  35.           Address:  ___________________________________________________
  36.  
  37.  City, State, Zip:  ___________________________________________________
  38.  
  39.  Where did you obtain your copy of DICOGO? ____________________________
  40.  
  41.