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Text File  |  1992-01-22  |  2KB  |  57 lines

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  4.        Form                   PCFDIAL REGISTRATION                 10402
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  7.        Make checks payable to:                         (U.S. funds only)
  8.                                Barn Owl Software
  9.                                   P.O. Box 74
  10.                               O'Fallon, IL  62269
  11.                                VOX: 618-632-7345
  12.                                FAX: 618-632-0023
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  16.        or call the Public (software) Library tollfree and use your Visa,
  17.        MasterCard, Optima, or American Express card:
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  19.                 (800) 2424-PSL   (ORDERS ONLY)
  20.                 (713) 524-6394   (orders & inquiries)
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  24.        Registration w/ manual   Qty:_______     @  $19.00     $_________
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  26.                        Illinois residents add 6.5% sales tax  $_________
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  28.                          Overseas orders add $3 for shipping  $_________
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  30.                                                        TOTAL  $_________
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  34.        Volume discounts available  if you purchase three or more copies.
  35.        See the SITELIC.DOC file included with PCFDial for details.
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  39.        Name:    _____________________________________  Date: ___________
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  41.        Company: ________________________________________________________
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  43.        Address: ________________________________________________________
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  45.                 ________________________________________________________
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  50.        If paying by credit card:        MasterCard ____     or Visa ____
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  52.        Card Nmbr: _______________________________   Expires: ___________
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  54.        Signature: __________________________________   Date: ___________
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  56.        Day phone: _______________________________
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