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/ Cream of the Crop 21 / Cream of the Crop 21 (Terry Blount) (October 1996).iso / windows / multvu21.zip / REGISTER.TX_ / REGISTER.TX
Text File  |  1996-09-07  |  2KB  |  54 lines

  1.                          MultiVu (tm)
  2.  
  3.   Copyright (c) 1994-96  Phil Grenetz, Gordon Hegfield  All Rights Reserved
  4.                 Published by Ivden Technologies, Inc.
  5.  
  6.                 MultiVu (tm) Registration Form
  7.                 ------------------------------
  8.  
  9.      Qty    Description                       Price      Total
  10.      ---    -----------                       -----      -----
  11.  
  12.      _____  MultiVu (tm) Personal on 3.5"     $19.00     _____
  13.      
  14.      _____  MultiVu (tm) Personal on 5.25"    $19.00     _____
  15.  
  16.      _____  MultiVu (tm) LAN .... on 3.5"     $49        _____
  17.  
  18.      _____  MultiVu (tm) LAN .... on 5.25"    $49        _____
  19.  
  20.                                          Sub-Total:   ________
  21.  
  22.              Pennsylvania Residents add sales tax:    ________
  23.  
  24.     Shipping/Handling per copy:
  25.     ($4 USA, $6 Canada / Mexico, $8 Other Countries)  ________
  26.  
  27.                                           Total:     _________
  28.  
  29. Terms:
  30.   * Check or Money Order drawn on a U.S.A. bank in U.S. funds.
  31.  
  32.      Ship to:                             
  33.      Name: ______________________________ 
  34.  
  35.      Company: ___________________________ 
  36.  
  37.      Address: ___________________________ 
  38.  
  39.      City: ______________________________ 
  40.  
  41.      State: __________   Zip: ___________
  42.  
  43.      Phone: (______) ____________________
  44.  
  45.      Fax:   (______) ____________________
  46.  
  47.      Where did you obtain MultiVu? ______________________________
  48.  
  49.      Ivden Technologies, Inc.        (215) 322-8205 (voice / FAX)
  50.      87 Arbor Road                   CompuServe ID:  71221,3602
  51.      Churchville, PA 18966-1007      E-Mail: 71221.3602@compuserve.com
  52.                                              ivden@voicenet.com
  53.  
  54.