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1990-12-26
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=========================================== Ver. 12/90b === Page 1 ===
FM Software Registration/Order Form
Diskette format (check one):
___ 5.25" 320K ___ 5.25" 1.2M ___ 3.5" 720K ___ 3.5" 1.4M
Quant Item Price ea. Total Price
----- ---------------------------- --------- -----------
_____ Watch $25 _________
_____ Play $25 _________
_____ Play/R $15 _________
_____ FM-Edit $35 _________
_____ FM-Tune $10 _________
_____ FB-01/MF Command Line Utils. $10 _________
_____ PLAY-PAK (Play,Play/R) $35 _________
_____ MidiTools (Watch,Play,Play/R) $45 _________
_____ FM-PAK/A (FM-Edit,FM-Tune,Utils) $45 _________
_____ FM-PAK (All programs) $75 _________
Applicable bonus packages (check):
____ On high density media (1.2M/1.4M) Free
____ On low desity media - include $5 handling _________
Subtotal _________
PA Residents add 6% sales tax _________
Total _________
Make checks payable in US funds to: "Kevin Weiner".
======================================================================
=========================================== Ver. 12/90b === Page 2 ===
Shipping information:
Your Name: ___________________________________________
Mailing Address: ___________________________________________
___________________________________________
___________________________________________
___________________________________________
Electronic Address: ___________________________________________
-------------------------------------------------------------------
Vendor and Model of PC: _____________________________________
Operating System Version: _____________________________________
MIDI Interface: _____________________________________
Where software was obtained: _____________________________________
--------------------------------------------------------------------
Mail this order form, together with your payment to:
Kevin Weiner
FM Software
1413 Spring St.
Bethlehem, PA 18018
Phone orders are also accepted. Call (215) 865-7956.
Order will be invoiced with shipment.
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Tax ID # 189-48-9747
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