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Text File  |  1994-10-01  |  2KB  |  61 lines
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  5.                           Beam Cookbook REGISTER.FRM file
  6.           ________________________________________________________________
  7.  
  8.                        BEAM COOKBOOK REGISTRATION ORDER FORM
  9.  
  10.  
  11.           Company: _______________________________________________________
  12.  
  13.           Address: _______________________________________________________
  14.  
  15.           City: _______________________ State/Prov: ________ Zip: ________
  16.  
  17.           Country: ____________________ Phone: ___________________________
  18.                                               (include area/country code)
  19.  
  20.           Disk Media, check one:   [ ] 5.25" 360K
  21.                                    [ ] 5.25" 1.2Mb
  22.                                    [ ] 3.5"  720K
  23.                                    [ ] 3.5"  1.44Mb
  24.           Registration Name
  25.           -----------------
  26.                   Your Name (required):  _________________________________
  27.  
  28.           Company/Org. Name (optional):  _________________________________
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  33.                                          Registration Fee:    $59.95
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  35.                       California residents add Sales Tax: __________
  36.  
  37.                                   Unites States    $5.00
  38.           Shipping and Handling:  Canada & Mexico  $7.00  __________
  39.                                   Other countries $10.00
  40.  
  41.                                             Total Cost:  ___________
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  44.           Checks or Money orders:  Make payable in U.S. currency on a U.S.
  45.           bank to:
  46.  
  47.                               SoftEngineering
  48.                               1278 Glenneyre Street  Suite 185
  49.                               Laguna Beach, CA 92651
  50.                               U.S.A.
  51.           What version of Beam Cookbook did you evaluate? ____________
  52.           How did you receive your copy of Beam Cookbook?
  53.           [ ] CompuServe  [ ] BIX  [ ] Genie  [ ] AOL
  54.           [ ] Other BBS ______________________________________________
  55.           [ ] Catalog ________________________________________________
  56.           [ ] Other __________________________________________________
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