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Text File  |  1994-04-25  |  2KB  |  47 lines
  1.  
  2.                   ┌──────────────────────────────────────────┐ 
  3.                   │     REPEAT 5.0  Registration Form        │ 
  4.                   └──────────────────────────────────────────┘ 
  5.  
  6.                        Send to:    Steve Edwards  
  7.                                    P.O. Box 14055 
  8.                                    Spokane, WA  99214-0055 
  9.                                    U.S.A. 
  10.  
  11.        ┌──────────────────────────────────────────────┬────────┬────────────┐ 
  12.        │ Item                                         │  Price │    Total   │ 
  13.        ╞══════════════════════════════════════════════╪════════╪════════════╡ 
  14.        │ REPEAT 5.0 (1 User)                          │ $10.00 │ __________ │ 
  15.        │                                              │        │            │ 
  16.        │ REPEAT 5.0 (Unlimited)                       │ $25.00 │ __________ │ 
  17.        │ (1 Disk & 10 Labels) for unlimited PC use    │        │            │ 
  18.        │                                              │        │            │ 
  19.        │ Modification of Code                         │ $10.00 │ __________ │ 
  20.        │                                              │        │            │ 
  21.        │ WA resident's sales tax                      │   8%   │ __________ │ 
  22.        │                                              │        │            │ 
  23.        │ Shipping (If outside of U.S. and Canada)     │  $5.00 │ __________ │ 
  24.        ├──────────────────────────────────────────────┴────────┼────────────┤ 
  25.        │                                                       │            │ 
  26.        │   Total amount of check or money order enclosed:      │ __________ │ 
  27.        └───────────────────────────────────────────────────────┴────────────┘ 
  28.                
  29.          Name:     ________________________________________________________ 
  30.  
  31.          Company:  ________________________________________________________ 
  32.  
  33.          Address:  ________________________________________________________ 
  34.  
  35.                    ________________________________________________________ 
  36.  
  37.                    ________________________________________________________ 
  38.  
  39.          Phone:    ________________________________________________________ 
  40.  
  41.  
  42.              What size disk do you               ┌──┐         ┌──┐ 
  43.              wish us to send you?         5.25"  │  │   3.5"  │  │ 
  44.              (Please Check One)                  └──┘         └──┘ 
  45.  
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