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Text File  |  1995-07-09  |  1KB  |  42 lines
  1.                       REGISTRATION FORM
  2.                         FastExit v1.2
  3.  
  4.  
  5. NAME______________________________________________
  6.  
  7. STREET____________________________________________
  8.  
  9. CITY______________________________________________
  10.  
  11. STATE_________________________     ZIP____________
  12.  
  13. TELEPHONE NUMBER_____________________
  14.  
  15.  
  16. FastExit license (each) number _____........$10.00...______
  17.  
  18. FastExit source code .......................$25.00...______
  19.  
  20. California residents add sales tax...................______
  21.  
  22. US residents - Shipping and handling........$ 4.00...______
  23.  
  24. Other - Shipping and handling...............$ 6.00...______
  25.                                                    ==========
  26.  
  27.         Total in US Funds drawn on a US Bank.........______
  28.  
  29. Please make checks payable to: Computer Business Associates
  30.  
  31. Mail to:
  32.  
  33.         Computer Business Associates
  34.         5962 Bowen Ct.
  35.         San Jose, CA 95123
  36.  
  37.         Phone  (408) 578-3568
  38.  
  39. Thank you for your support!!
  40.  
  41.  
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