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Text File  |  1987-05-30  |  1KB  |  50 lines
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  3.                                ORDER FORM/INVOICE
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  5.        To:  Eggshell Software                  Date:
  6.             P.O. Box 11147
  7.             Alexandria,  Va    22312
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  11.                                 ** IMPORTANT **
  12.     MY DISTRIBUTION ARCHIVE WAS REGISTERED TO:____________________________
  13.                                 SERIAL NUMBER:____________
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  19.      From:__________________________________
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  21.           __________________________________
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  23.           __________________________________
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  27.     REGISTER TO: __________________________________
  28.                      (If Different From Above)
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  31.     ----------------------------------------------------------------------
  32.      QUAN   PRODUCT NAME / DESC                                   PRICE
  33.     ----------------------------------------------------------------------
  34.       1     Biorhythms Version 3 Release Registration              25.00
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  40.       1    Va Residents Add 1.00 State & Local Tax                  1.00
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  42.     TOTAL ENCLOSED      (25.00 Out of State, 26.00 Va Residents)
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  46.                 Thank You for Supporting the ShareWare Concept.
  47.           Please Remember to Include The Serial Number from Your Copy
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  50. ISSUED S.N. ______________