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Text File  |  1993-03-08  |  2KB  |  61 lines
  1.                   Stevenson Technical Services, Inc. (STSI)
  2.                           108 Second Avenue West
  3.                           Bertha, MN 56437-0297
  4.                           Phone: (218) 924-2050
  5.                      The Bertha BBS: (218) 924-2060
  6.  
  7.                         ZIP'R 3.0 Registration Form
  8.  
  9.    Qty    Description                                    Price Each    Total
  10.  
  11.   _____   ZIP'R 3.0 Single-User Registration              $39.95     ________
  12.             Includes Printed Manual, 3 1/2" & 5 1/4" Diskettes
  13.  
  14.   _____   ZIP'R 3.0 Network Registration (5 - User)      $100.00     ________
  15.  
  16.   _____   ZIP'R 3.0 Network Registration (10 - User)     $200.00     ________
  17.  
  18.   _____   ZIP'R 3.0 Network Registration (20 - User)     $300.00     ________
  19.  
  20.   _____   ZIP'R 3.0 Network Registration (50 - User)     $400.00     ________
  21.  
  22.   _____   ZIP'R 3.0 Network Registration (100 - User)    $500.00     ________
  23.  
  24.   _____   Additional Copies of Printed Manual             $10.00     ________
  25.  
  26.                                                       Sub-Total:     ________
  27.  
  28.                          Minnesota Residents Add 6.5% Sales Tax:     ________
  29.  
  30.       Shipping/Handling (U.S. = $5.00, Foreign Orders = $12.50):     ________
  31.  
  32.                                                           Total:     ________
  33.  
  34.  
  35.      Name: ___________________________________  Title: ______________________
  36.  
  37.   Company: __________________________________________________________________
  38.  
  39.   Address: ______________________________  City: ____________________________
  40.  
  41.     State: ___________  Zip Code: _______________  Phone: ___________________
  42.  
  43.   Please Register ZIP'R To This Name: _______________________________________
  44.  
  45.  
  46.   Method of Payment: ___ Visa/MC   ___ American Express   ___ Discover
  47.                      ___ Check/Money Order Enclosed
  48.             (Checks/MO's must be in U.S. Funds drawn on a U.S. Bank!)
  49.  
  50.   Credit Card #: __________________________________  Expiration Date: ___/___
  51.  
  52.   Name on Card: _______________________  Signature: _________________________
  53.  
  54.   Comments / Suggestions: ___________________________________________________
  55.  
  56.   ___________________________________________________________________________
  57.  
  58.   ___________________________________________________________________________
  59.  
  60.  
  61.