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Text File  |  1992-02-18  |  1KB  |  33 lines

  1.  
  2. JSSW ORDER FORM 02/92
  3.                                                    Each       Qty      Total
  4.                                                    Copy
  5. JSSW Conversion Program Registration ............  20.00    _______  _________
  6.      Registration based on concurrent use.
  7.  
  8. Do you need a disk sent to you? YES:____ NO:_____
  9.  
  10.                    If YES, add $5.00 for Shipping and Handling .... __________
  11.  
  12.                    Michigan Residents add 4% sales tax ............ __________
  13.  
  14.                    Total: ......................................... __________
  15.                                                                     ----------
  16.                    U. S. Currency only please.
  17.      
  18. Please make payable to:
  19.  
  20.         George Spafford
  21.         3001 LakeShore Drive #329
  22.         St. Joseph, MI 49085
  23.  
  24. Your Name and Address:
  25.  
  26.         ___________________________________
  27.  
  28.         ___________________________________
  29.  
  30.         ___________________________________
  31.  
  32.         ___________________________________
  33.