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Text File  |  1992-07-23  |  992b  |  44 lines
  1.                        Registration Form
  2.  
  3.                         Rubber Room 1.0
  4.  
  5.  
  6. NAME________________________________________________________
  7.  
  8. COMPANY_____________________________________________________
  9.  
  10. STREET______________________________________________________
  11.  
  12. CITY________________________________________________________
  13.  
  14. STATE_________________________    ZIP_______________________
  15.  
  16.  
  17. Media type.......5.25"______.......3.5"______
  18.  
  19.  
  20. Price List:
  21.     Units         Total Price
  22.     =====         ===========
  23.       1             $10.00
  24.      2-3            $18.00
  25.      4-8            $32.00 
  26.      9-15           $63.00 
  27.     16-30           $96.00
  28.     31-50          $155.00 
  29.     51-100         $204.00
  30.    101-300         $303.00
  31.      300+          $600.00
  32.  
  33.                                                 $
  34. Total............................................===========
  35.  
  36.  
  37. Make checks payable to: Kamyan Software
  38.  
  39. Mail to:
  40.     Kamyan Software
  41.     1228 Robin Drive
  42.     Carol Stream, Il 60188
  43.  
  44.