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Text File  |  1991-02-19  |  1KB  |  37 lines

  1.                       Howard L. McHenry Services (c) 1991
  2.  
  3.  
  4.       Cardx version 10.2                               Site License Form
  5.       ------------------------------------------------------------------
  6.         Make check payable to:
  7.           Howard L. McHenry Services
  8.           RD#1 Box 520
  9.           Vandergrift, PA.
  10.                           15690-9635
  11.       ------------------------------------------------------------------
  12.  
  13.         Unprotected with no locks or keys, unlimited use by all and
  14.         any ______________________________ employees on the company
  15.         property.
  16.  
  17.         $500.00 for one master copy on a 5.25" DS/DD disk.  $ ________
  18.  
  19.         Pennsylvania residents please add sales tax at 6%   $ ________
  20.  
  21.                                           Total (U.S.Funds) $ ________
  22.                                           drawn on U.S.Bank
  23.       ------------------------------------------------------------------
  24.  
  25.              Name______________________________________________________
  26.  
  27.           Company______________________________________________________
  28.  
  29.           Address______________________________________________________
  30.  
  31.                  ______________________________________________________
  32.  
  33.             Phone_________________________  Bus._______________________
  34.  
  35.             Signature of registers name________________________________
  36.       ------------------------------------------------------------------
  37.