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Text File  |  1992-03-23  |  2KB  |  64 lines
  1.  
  2. Mail to:
  3.  
  4.                Advanced Personal Systems
  5.                105 Serra Way
  6.                Suite 418
  7.                Milpitas, CA. 95035
  8.  
  9.                Attn: Paul Griffith
  10.  
  11.                                O R D E R   F O R M
  12.  
  13.   ---------------------------------------------------------------------------
  14.  
  15.                           Name __________________________________
  16.  
  17.                        Company __________________________________
  18.  
  19.                        Street  __________________________________
  20.  
  21.       City, State, Zip/Country __________________________________
  22.  
  23.                                __________________________________
  24.  
  25.                           Date ______________ Version ___________
  26.  
  27.  
  28.      Registration Fee for SysChk    $20.00 ...........___________
  29.  
  30.  
  31.      California State Sales Tax      $1.65 ...........___________
  32.  
  33.  
  34.      Additional Shipping outside     $3.00 ...........___________
  35.      of United States and Canada
  36.      (We airmail all foreign shipments)
  37.  
  38.  
  39.      TOTAL............................................___________
  40.  
  41.  
  42.  
  43.      We normally ship 5.25" 360K diskettes.  Check here if you
  44.      need SysChk on 3.5" 720K diskette.................________
  45.  
  46.  
  47.      Where did you learn of SysChk? ____________________________
  48.  
  49.  
  50.      Comments / Suggestions ____________________________________
  51.  
  52.  
  53.      ___________________________________________________________
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  55.  
  56.      ___________________________________________________________
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  59.      ___________________________________________________________
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  62.      ___________________________________________________________
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