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Text File  |  1992-07-02  |  1.3 KB  |  54 lines
  1.                    EZRECV Order/Registration Form
  2.  
  3.  Please include this form with any order or registration of
  4.                            EZRECV.
  5.  
  6.         Send this form with check or money order to:
  7.  
  8.                      Express Consulting
  9.                 4960 Hamilton Ave.  Suite 211
  10.                      San Jose, CA  95130
  11.               (408)374-7992  (408)374-3115(FAX)
  12.                               
  13.                               
  14.  
  15. Enclosed is my payment for the following items:
  16.  
  17. Product                             Qty      Price      Total
  18.  
  19. EZRECV Communications Software      ____     $29.00    _______
  20. Check Disk Size: 3 1/2" ____
  21.                  5 1/4" ____
  22.  
  23. Shipping & Handling                         N/C
  24.  
  25. Sales Tax(8.25% in California)                         _______
  26.  
  27.  
  28.                                         Total Cost     _______
  29.  
  30.  
  31. This offer is valid until 12/92.
  32.  
  33.  
  34.  
  35. Ship to:
  36.  
  37.  
  38.      Name:   ___________________________________________________
  39.  
  40.  
  41.      Company:___________________________________________________
  42.  
  43.  
  44.      Address:___________________________________________________
  45.  
  46.  
  47.      Address:___________________________________________________
  48.  
  49.  
  50.      City:   _____________________   State:____  Zip:___________
  51.  
  52.  
  53.      Phone:  (____)____ - ________  FAX: (____)____ - __________
  54.