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1996-08-19
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2KB
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57 lines
SciTech Display Doctor 5.3
Order/Registration Form
SciTech Software, Inc. ___/___/___
505 Wall Street MM /DD /YY
Chico, CA 95928 USA
Toll free/Phone/Fax: 800-486-4823 / 916-894-8400 / 916-894-9069
PLEASE PRINT OR TYPE CLEARLY!
Name: ______________________________________________________________
Company: ___________________________________________________________
Address: ___________________________________________________________
__________________________City ____________ State _________
Zip/Postal Code___________________ Country ________________
Phone: _______________________________ Fax: _______________________
Email: _____________________________________________________________
Register product(s) to: [ ] Company [ ] Individual
Pay By: [ ] Check (USA only) [ ] Money Order [ ] Credit Card
*$10.00 charge for all returned checks
Credit Card Orders: MasterCard / Visa / Amex / Discover (Circle one)
Card Number ___________________________________ Expires ___/___
Exact name on card (print) ____________________________________
Price List Cost Qty Price
------------------ ------------------ ----- --- ------
Display Doctor 5.3 US$34.95* ___ $ ______
Disk & Manual US$10 ___ $ ______
*Includes any 5.x upgrades (available online)
Subtotal: $ ______
California residents add 7.25% sales tax $ ______
Shipping & Handling Charges (See below for amount!): $ ______
Total Enclosed: $ ______
I have read and agree to abide by the enclosed license agreement and I
agree to be bound by my credit card agreement.
(Signature required) _____________________________________
SHIPPING CHARGES: If a disk & manual are ordered from outside the USA, the
shipping charge is US$9 and will be delivered via airmail. For orders within
the USA, the shipping charge is US$4. Orders without disk & manual will
receive a receipt and registration code via airmail for no additional
charge.