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REGISTER.FRM
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1991-09-02
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1KB
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49 lines
Form PCFDIAL REGISTRATION 10202
Make checks payable to: (U.S. funds only)
Barn Owl Software
P.O. Box 74
O'Fallon, IL 62269
VOX: 618-632-7345
FAX: 618-632-0023
or use a credit card! We take MasterCard & Visa.
Registration w/ manual Qty:_______ @ $19.00 $_________
Illinois residents add 6.5% sales tax $_________
TOTAL $_________
Volume discounts available if you purchase three or more copies.
See the SITELIC.DOC file included with PCFDial for details.
Name: _____________________________________ Date: ___________
Company: ________________________________________________________
Address: ________________________________________________________
________________________________________________________
If paying by credit card: MasterCard ____ or Visa ____
Card Nmbr: _______________________________ Expires: ___________
Signature: __________________________________ Date: ___________
Day phone: _______________________________