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Text File  |  1998-10-19  |  1.1 KB  |  39 lines
  1. Mail this form to:
  2.  
  3. Attn: D.R. Block
  4. BlockTeq Software
  5. Rt.2 Box 156AB-1
  6. Pflugerville, TX 78660
  7.  
  8.  
  9. BlockTeq SpellCheck 1.2á
  10. Single Developers License $89.00______
  11. Corporate License        $712.00______
  12. ----------------------------------------
  13. Name and Address
  14. ________________________________________
  15. User Name (required)
  16. ________________________________________
  17. Company
  18. ________________________________________
  19. Address
  20. ________________________________________
  21. Address
  22. ________________________________________
  23. City
  24. ________________________________________
  25. State/Provinceáááááááááááááááá Zip Codeáááááááááááááááá Country
  26. ________________________________________
  27. E-mail address 
  28. ________________________________________
  29. Daytime telephone (if we have questions 
  30. about your order)
  31. ________________________________________
  32. Ship to address (if different from above)
  33. ________________________________________
  34. City
  35. ________________________________________
  36. State/Provinceáááááááááááááááá Zip Codeáááááááááááááááá Country
  37.  
  38. Enclose check or money order. Payable to:
  39. BlockTeq Software