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REGISTER.DOC
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1993-01-26
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EMERI(tm) Version 1.2 Registration Form
----------------------------------------
Please check the appropriate item(s) below, and fill in the necessary
information. Send your order form and payment (in U.S. Dollars) to:
Rhode Island Soft Systems, Inc.
PO Box 748
Woonsocket, RI 02895
U.S.A.
FAX: 401-658-4632
Credit Card Orders: 1-800-959-RISS (7477)
[ ] I would like to register _____ copies of EMERI Version 1.2 for
only $14.95 (U.S.) each. I already have the EMERI program and files.
I will receive all the benefits of registration.
[ ] I would like to register _____ copies of EMERI Version 1.2
for only $19.95 (U.S.) each, and receive the program and files on
diskette because I do not already have them. I will receive all of
the benefits of registration. Disk size: [ ] 3.5" or [ ] 5.25"
-------------------------------------------------------------------------
1) Subtotal for registrations (# of copies X $14.95) $________
2) Subtotal for registrations (# of copies x $19.95) $________
3) Optional Express Mail over night delivery add $10.95 $________
4) Additional $10 (U.S.) for non-U.S. checks (when applicable) $________
(see the documentation for details)
Amount Enclosed $________ Amount enclosed $________
[ ] I have enclosed payment for the above amount.
[ ] Please charge my: [ ] Visa [ ] Mastercard [ ] AmEx [ ] Discover
Signature:___________________________
Card Number:______________________________ Expiry Date:_______________
My name and mailing address is:
Name: ____________________________________________________________
Street/PO Box: ___________________________________________________
City: ____________________ State: _______ Zip Code: ____________
Phone Number: __________________ Fax Number: ___________________