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  1. /-----------------------------------------------------------------------------\
  2. |  HardTrack Order Form                                                        |
  3. |                                                                              |
  4. |            Registration Name: _______________________________________________|                                          |
  5. |           # PC's To Register: 1   Times Cost Per PC:$ 22 (Cost if 2+ PC=$15) |
  6. | Total Basic Registration Fee:$  _______ Includes 1 Install Disk, 1 Manual    |
  7. | Plus: __ Extra Install Disks:$  _______ @ $4.00 Each                         |
  8. |     __ Extra Printed Manuals:$  _______ @ $5.00 Each                         |
  9. |            Register QuickDir:$  _______ @ $22.00                             |
  10. |            Shipping/Handling:$   4.00   (Add $6 for Overseas Shipping).                                        |
  11. | ---------------------------------------------------------------------------- |
  12. |        Registration Subtotal:$  _______                                      |
  13. | Plus: 6% Sales Tax (CT Only):$  _______                                      |
  14. | ---------------------------------------------------------------------------- |
  15. |                  Total Order:$  _______                                      |
  16. |                                                                              |
  17. |                Diskette Size:  (3.5) or (5.25)  Circle                       |
  18. |                                                                              |
  19. |Ship To: ________________________________________                             |
  20. |         ________________________________________  Make Checks, Money Orders  |
  21. |         ________________________________________  Payable To:                |
  22. |         ________________________________________                             |
  23. |                                                   Jim Olsen, SUPERWARE       |
  24. |                                                   PO BOX 1291                |
  25. |                                                   Naugatuck, CT. 06770       |
  26. └------------------------------------------------------------------------------┘
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