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Text File  |  1992-01-31  |  2KB  |  58 lines
  1.                           LASR-MAN SHAREWARE ORDER FORM
  2.  
  3. Name............. _____________________________________________________________
  4.  
  5. Company.......... _____________________________________________________________
  6.  
  7. Address.......... _____________________________________________________________
  8.  
  9. City, STATE ZIP.. _____________________________________________________________
  10.  
  11. Telephone Number. (______)______-________
  12.  
  13. Current LASR-MAN Version 3.00 ___________
  14.  
  15. -------------------------------------------------------------------------------
  16. ITEM                                      AMOUNT     QUANTITY ORDERED     TOTAL
  17. -------------------------------------------------------------------------------
  18.  
  19. LASR-MAN Registration, Version 3.00        35.00      ____           $_________
  20.         Includes printed manual and latest version diskette
  21.  
  22. LASR-MAN Site License, Version 3.00       350.00      ____           $_________
  23.         Includes printed manual and latest version diskette
  24.  
  25. Current Shareware diskette 
  26.         Without Registration               10.00      ____           $_________
  27.  
  28. SUBTOTAL AMOUNT                                                      $_________
  29.  
  30. Sales Tax (7 percent, Florida Only)                                  $_________
  31.  
  32. Shipping
  33.   Normal, within USA                        NONE
  34.   Shipping, Surface Outside US              5.00
  35.   Shipping, Air Outside US                 10.00                     $_________
  36.  
  37. -------------------------------------------------------------------------------
  38. TOTAL AMOUNT                                                         $
  39. -------------------------------------------------------------------------------
  40. SPECIFY DISKETTE SIZE:
  41.   5 1/4" 360K diskette  ____
  42.   5 1/4" 1.2M diskette  ____
  43.   3 1/2" 720K diskette  ____
  44.  
  45.  
  46.  Please mail this completed form & a check/money
  47.   order (US funds only) for the TOTAL AMOUNT to:
  48.  
  49.  
  50.  
  51.  
  52.  
  53.             Micrometric
  54.             98 Dade Avenue
  55.             Sarasota, FL  34232-1609  USA
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