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Text File  |  1991-09-02  |  1KB  |  49 lines

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  4.        Form                   PCFDIAL REGISTRATION                 10202
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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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  14.                or use a credit card!  We take MasterCard & Visa.
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  17.        Registration w/ manual   Qty:_______     @  $19.00     $_________
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  19.                        Illinois residents add 6.5% sales tax  $_________
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  21.                                                        TOTAL  $_________
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  25.        Volume discounts available  if you purchase three or more copies.
  26.        See the SITELIC.DOC file included with PCFDial for details.
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  31.        Name:    _____________________________________  Date: ___________
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  33.        Company: ________________________________________________________
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  35.        Address: ________________________________________________________
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  37.                 ________________________________________________________
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  42.        If paying by credit card:        MasterCard ____     or Visa ____
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  44.        Card Nmbr: _______________________________   Expires: ___________
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  46.        Signature: __________________________________   Date: ___________
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  48.        Day phone: _______________________________
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