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Text File  |  1993-06-16  |  2.3 KB  |  53 lines
  1.           DayFlo TRACKER Lite -- ORDER/REGISTRATION FORM
  2.                ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
  3. Registering will provide you with a complete printed user manual
  4. of more than 250 pages, 90 days telephone support, additional
  5. sample templates and reports, additional personal help screens and
  6. information regarding updates and new releases.
  7.                                                   
  8.     Name:________________________________  Title:________________ 
  9.                                                                  
  10.  
  11.     Company:_____________________________________________________ 
  12.                                                                  
  13.  
  14.     Address:____________________________ City:___________________ 
  15.                                                                  
  16.  
  17.     State:___________   Zip:_____________  Country:______________ 
  18.                                                                  
  19.  
  20.     Date:_____/_____/_____            Current version #__________
  21.       (Fill out form completely)   
  22.     ---------------------------------------------------------------
  23.     Product                     #     Price/ea     S&H       Total 
  24.     ---------------------------------------------------------------
  25.     DayFlo TRACKER Lite        ___    _$59.00_    _$7.00_   _______
  26.     
  27.     DConvert-dbase/text, import___    _$19.00_    _$3.00_   _______
  28.              /export utility
  29.     * Canadian Orders, Add $2.50 per copy                   _______
  30.  
  31.     * International Orders, Add $6.50 per copy              _______
  32.  
  33.     * CA Residents add appropriate sales tax                _______
  34.  
  35.                                      TOTAL ENCLOSED     ___________
  36.  
  37.     Disk Size: [ ] 5-1/4"   [ ] 3-1/2"   [ ] Check [ ] Visa [ ] MC
  38.     
  39.     Card# __________________________________     Exp. Date ________
  40.     
  41.     Signature ______________________________
  42.  
  43.     How did you hear about our Products?    [ ] BBS   [ ] Friend 
  44.  
  45.     [ ] Other _____________________________________________________
  46.                   Mail Completed form with Payment to: 
  47.            DayFlo TRACKER Corp.
  48.            18021 "J" Sky Park Circle
  49.            P.O. Box 19243
  50.            Irvine, CA  92713 USA
  51.            FAX (714) 474-0197
  52.          [June 1993]  Prices subject to change without notice.  
  53.