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Text File  |  1991-08-07  |  2KB  |  49 lines
  1.                               INVOICE/REGISTRATION FORM
  2.  
  3.           Send to:               Irfan Gowani
  4.                                  P.O. Box 40011
  5.                                  Bellevue,  WA 98004
  6.  
  7.           From:
  8.  
  9.           FIRST NAME:   ______________________________________
  10.  
  11.           LAST NAME:    ______________________________________
  12.  
  13.           ADDRESS1:     ______________________________________
  14.  
  15.           ADDRESS2:     ______________________________________
  16.  
  17.           CITY:         ______________________________________
  18.  
  19.           STATE:        ______________________________________
  20.  
  21.           ZIP:          ______________________________________
  22.  
  23.  
  24.  
  25.           Quantity                                                                                        Unit Price
  26.           ________ EditReplay @ Single User Registration Fee: $20.00      
  27.           
  28.                                                        Total: $________
  29.                                    (Make checks payable to Irfan Gowani)        
  30.  
  31.           Please specify disk size: ___ 5.25" or ___ 3.5"
  32.  
  33.           Upon receipt of this paid invoice, a registration number 
  34.           will be sent.
  35.  
  36.           COMMENTS/SUGGESTIONS:
  37.              
  38.           _____________________________________________________________
  39.  
  40.           _____________________________________________________________
  41.  
  42.           _____________________________________________________________
  43.  
  44.           _____________________________________________________________
  45.  
  46.           _____________________________________________________________
  47.  
  48.           _____________________________________________________________
  49.