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Text File  |  1994-10-03  |  1.4 KB  |  43 lines  |  [ttro/ttxt]
  1.  
  2. CO-MOTION™ LITE REGISTRATION AND ORDER FORM
  3.  
  4. NAME
  5.   __________________________________________________
  6. ADDRESS
  7.   __________________________________________________
  8.   __________________________________________________
  9.   __________________________________________________
  10.   __________________________________________________
  11. PHONE
  12.   __________________________________________________
  13.  
  14. ORDERING INFORMATION
  15. Single-machine license for Co-motion Lite
  16.                                                                         $  30 US
  17. Additional single-machine licenses
  18.                                                                         $_____
  19.                                                TOTAL DUE
  20.                                                                         $_____
  21.  
  22. PAYMENT
  23.   __  Check/Money Order — Make payable to Bittco Solutions
  24.   __  Visa/MasterCard — Fill in the information below
  25.  
  26.         Credit Card Number _______________________________
  27.         Expiration Date _________
  28.         Card Holder’s Name _______________________________
  29.         Signature ________________________________
  30.  
  31. MAIL THIS FORM TO –
  32.         Co-motion Lite c/o Bittco Solutions
  33.         #194, 3803 Calgary Trail S
  34.         Suite 1215
  35.         Edmonton, AB
  36.         Canada, T6J 5M8
  37.  
  38. OR FAX THIS FORM FOR IMMEDIATE PROCESSING TO -
  39.         (403) 922-2859
  40.  
  41. OR EVEN EASIER, ORDER BY TELEPHONE AT -
  42.         (800) 265-2726
  43.         (403) 922-5514