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Text File  |  1996-04-23  |  3KB  |  64 lines
  1.   Registration Form (G7B21):
  2.  
  3.   Send to:   Synergistic Consultants, Incorporated
  4.              Post Office Box 18888
  5.              Huntsville, AL 35804-8888
  6.              1-800-828-8384 (Order, help, fax line)
  7.  
  8.   Name:            __________________________________
  9.  
  10.   (Company):       __________________________________
  11.  
  12.   Address:         __________________________________
  13.  
  14.   City:            __________________________________
  15.  
  16.   Today's date:    ___________   
  17.  
  18.   State, ZIP Code: __________________________________
  19.  
  20.   (Country):       __________________________________
  21.  
  22.   Daytime
  23.   Phone #: _________________________  FAX #: ____________________________
  24.   Home
  25.   Phone #: _________________________
  26.  
  27.                                                 Quantity         Price
  28.   GEN7 Desktop only Version 2.1: (Required)     ________        $10.00
  29.   Children's Tutors Version 2.1:                ________        $10.00
  30.   Accounting Module Version 2.1:                ________        $10.00
  31.   Music DataBase Version 2.1:                   ________        $10.00
  32.   Voice Module Version 2.1:                     ________        $10.00
  33.   Program Manager Version 2.1:                  ________        $10.00
  34.   Compression Module Version 2.1:               ________        $10.00
  35.   Old Testament Evaluation Version 2.1          ________        $0.00
  36.   New Testament Evaluation Version 2.1          ________        $0.00
  37.   GEN7 User's Manual                            ________        $5.00
  38.   All Seven                                     ________        $65.00.
  39.   More than one:                                                Subtract
  40.                                                 ________        $5.00
  41.                                                 _4.00___        Shipping
  42.                                                                  $4.00
  43.                                                                    or
  44.                                                                 AL Sales
  45.                                                                    Tax
  46.  
  47.   TOTAL ENCLOSED:                                        U.S. $________
  48.  
  49.  
  50.   MasterCard ____ or VISA ____     Expiration Date ______________
  51.  
  52.   Card Number _________________________________________________________
  53.  
  54.   Card Holder's Signature (REQUIRED) __________________________________
  55.  
  56.  
  57.  
  58.   TERMS:
  59.     MasterCard, VISA, Check or Money Order drawn on a United States 
  60.     bank in U.S. funds.  Please make remittance payable to Synergistic
  61.     Consultants, Inc..  Prices and terms subject to change without notice.
  62.     MS-DOS is a registered trademark of Microsoft Corporation.
  63.  
  64.