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Text File  |  1996-10-28  |  3KB  |  60 lines
  1.  
  2.                           Beam Cookbook REGISTER.FRM file
  3.           ________________________________________________________________
  4.  
  5.                        BEAM COOKBOOK REGISTRATION ORDER FORM
  6.  
  7.           Company: _______________________________________________________
  8.  
  9.           Address: _______________________________________________________
  10.  
  11.           City: _______________________ State/Prov: ________ Zip: ________
  12.  
  13.           Country: ____________________ Phone: ___________________________
  14.                                               (include area/country code)
  15.  
  16.           Disk Media, check one:   [ ] 5.25" 360K
  17.                                    [ ] 5.25" 1.2Mb
  18.                                    [ ] 3.5"  720K
  19.                                    [ ] 3.5"  1.44Mb
  20.           Registration Name
  21.           -----------------
  22.                   Your Name (required):  _________________________________
  23.  
  24.           Company/Org. Name (optional):  _________________________________
  25.  
  26.                Registration Fee:                            $49.95
  27.                      Online Manual only        $0.00
  28.                      Printed and Online Manual $10.00     __________
  29.  
  30.                       California residents add Sales Tax: __________
  31.  
  32.                                          Manual
  33.            Shipping and Handling:     Printed  Online
  34.                       Unites States    $5.00   $3.00
  35.                       Canada & Mexico  $7.00   $5.00      __________
  36.                       Other countries $10.00   $7.00
  37.  
  38.                                             Total Cost:  ___________
  39.           
  40.           Checks or Money orders:  Make payable in U.S. currency on a U.S.
  41.           bank to:
  42.                               SoftEngineering
  43.                               1278 Glenneyre Street  Suite 185
  44.                               Laguna Beach, CA 92651
  45.                               U.S.A.
  46.           also distributed by:
  47.                               Henning Associates
  48.                               4542 Doylesville Rd.
  49.                               Rt. 2 Box 526-A
  50.                               Crozet, VA  22932
  51.                               Toll-Fee (800)-823-6896 Visa and Mastercard
  52.                               Purchase Orders accepted 
  53.  
  54.           What version of Beam Cookbook did you evaluate? ____________
  55.           How did you receive your copy of Beam Cookbook?
  56.           [ ] CompuServe  [ ] BIX  [ ] Genie  [ ] AOL
  57.           [ ] Other BBS ______________________________________________
  58.           [ ] Catalog ________________________________________________
  59.           [ ] Other __________________________________________________
  60.