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ORDER.FRM
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1993-04-20
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3KB
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61 lines
POLYCOPY 3.0 REGISTRATION FORM
Send this completed form and registration fees to:
POLYCOPY REGISTRATION - P.O. BOX 1126 - MARTINSVILLE, VA 24114
Indicate method of payment (payable to NEOCOM Microspecialists, Inc.):
[ ] Check or Money Order (US Funds)
[ ] MastCard [ ] VISA Exp. Date __/__ Acct#: ________________________
Signature: ____________________________
Credit card orders: 1-800-766-6861 or FAX 1-703-666-9534 (8am-5pm EST)
For information, call [voice]: 1-703-666-9533
------------------------------------------------------------------------------
SINGLE COPY REGISTRATION
Latest program disk with printed manual: $24.95 + S&H
------------------------------------------------------------------------------
SITE LICENSE (MULTI-COPY) REGISTRATION (call regarding upgrades)
Site license for use of POLYCOPY. (Includes one disk & multiple docs.)
No. PCs Adjusted Price
2 - 5 $22.50 each
6 - 19 $18.75 each
20 - 49 $16.25 each
50 - 99 $13.75 each
100 or more --CALL--
NOTE: With site licenses postage and handling are waved; however,
overseas order charges still apply.
----------------------------------------------------------------------------
BUNDLING & MULTI-SITE LICENSING OPTIONS ARE AVAILABLE
Call or FAX your proposal to 703-666-9533 [voice] or 703-666-9534 [Fax]
between the hours of 8 a.m. - 5 p.m. EST.
----------------------------------------------------------------------------
Price: $_____.__ x Qty = $_____.__
Shipping & Hand.: $ 2.50 x Qty = $_____.__ (Site licenses exempt)
Overseas or outside U.S.: $ 5.00 = $____5.00 (if applicable)
Total enclosed: $_____.__ (U.S. funds)
Company: ___________________________ Your Name: __________________________
Address: ___________________________________________________________________
City: _________________________________ State: ___ Zip: ______-____
Telephone: ( )___-____ Version you already have: _______
Preferred media (check one): [ ] 3½ diskette [ ] 5¼ diskette
Computer: [ ] PC/XT [ ] AT Class [ ] 80386 [ ] 80486 [ ] Pentium
XMM Driver: [ ] HIMEM [ ] QEMM386 [ ] 386MAX [ ] Other ________________
DOS or other OS (brand and version): _______________________________________
Where did find out about POLYCOPY? ________________________________________
Comments/Suggestions: