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REGISTER.TXT
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1994-04-25
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2KB
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47 lines
┌──────────────────────────────────────────┐
│ REPEAT 5.0 Registration Form │
└──────────────────────────────────────────┘
Send to: Steve Edwards
P.O. Box 14055
Spokane, WA 99214-0055
U.S.A.
┌──────────────────────────────────────────────┬────────┬────────────┐
│ Item │ Price │ Total │
╞══════════════════════════════════════════════╪════════╪════════════╡
│ REPEAT 5.0 (1 User) │ $10.00 │ __________ │
│ │ │ │
│ REPEAT 5.0 (Unlimited) │ $25.00 │ __________ │
│ (1 Disk & 10 Labels) for unlimited PC use │ │ │
│ │ │ │
│ Modification of Code │ $10.00 │ __________ │
│ │ │ │
│ WA resident's sales tax │ 8% │ __________ │
│ │ │ │
│ Shipping (If outside of U.S. and Canada) │ $5.00 │ __________ │
├──────────────────────────────────────────────┴────────┼────────────┤
│ │ │
│ Total amount of check or money order enclosed: │ __________ │
└───────────────────────────────────────────────────────┴────────────┘
Name: ________________________________________________________
Company: ________________________________________________________
Address: ________________________________________________________
________________________________________________________
________________________________________________________
Phone: ________________________________________________________
What size disk do you ┌──┐ ┌──┐
wish us to send you? 5.25" │ │ 3.5" │ │
(Please Check One) └──┘ └──┘