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Text File  |  1991-01-23  |  2KB  |  61 lines
  1.  
  2.     
  3.     
  4.     
  5.                      REGISTRATION AND ORDER FORM
  6.     ____________________________________________________________
  7.     
  8.     
  9.     To order Pony Express or to register for continued usage
  10.     complete the form below and enclose the proper payment.
  11.     You can also order by telephone (800)642-5045 (orders only)
  12.     or (913)642-5005.  Our FAX number is (913)642-5466.
  13.     
  14.     
  15.     Contact Name:_______________________________________________
  16.     
  17.     Title:________________________________
  18.     
  19.     Company Name:_______________________________________________
  20.     
  21.     Street Address:_____________________________________________
  22.     
  23.     City:_________________________ St:______ Zip:_______________
  24.     
  25.     Telephone:____________________ Alternate:___________________
  26.     
  27.     
  28.     Quantity
  29.     
  30.     ________ Pony Express registration and   @ $50.00 ea _______
  31.           product update notification.
  32.     
  33.     ________ Pony Express registration plus  @ $80.00 ea _______
  34.           professionally printed user's guide, one year
  35.           voice tech support, product update notification.
  36.           (includes shipping)
  37.           Diskette Format: [  ] 3.5"     [  ] 5.25"
  38.     
  39.          Kansas residents add 5.85% sales tax            _______
  40.     
  41.     
  42.                           Total        _________
  43.     
  44.     
  45.     
  46.     Method of Payment: [  ] Check with Order    [  ] Money Order
  47.                [  ] Mastercard          [  ] Visa
  48.     
  49.     Card #:__________________________________ Exp. Date:___ /___
  50.     
  51.     Signature:______________________________________
  52.     
  53.     Cardholder's Name:______________________________
  54.     
  55.         Remit To:   Melisco Marketing, Inc.
  56.                 9719 Ensley Lane
  57.                 Leawood, KS  66206-2246
  58.     ____________________________________________________________
  59.     PONY EXPRESS USER'S GUIDE                                i-v
  60.  
  61.