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Text File  |  1993-02-09  |  2KB  |  61 lines
  1.                              $1 UTILITIES REGISTRATION FORM
  2.  
  3.  
  4.           Your Name: ______________________________________________________
  5.  
  6.           Company Name: ___________________________________________________
  7.  
  8.           Mailing Address: ________________________________________________
  9.  
  10.           City, State, Zip Code: __________________________________________
  11.  
  12.           Telephone Number: _______________________________________________
  13.  
  14.  
  15.           Quantity        Product Description       Price Each        Total
  16.           --------        -------------------       ----------        -----
  17.  
  18.             ___           CAPS                        $1.00           _____
  19.  
  20.             ___           INTERNAL                    $1.00           _____
  21.  
  22.             ___           MOVE                        $1.00           _____
  23.  
  24.             ___           NUM                         $1.00           _____
  25.  
  26.             ___           RENDIR                      $1.00           _____
  27.  
  28.             ___           RES                         $1.00           _____
  29.  
  30.             ___           RDEL                        $1.00           _____
  31.  
  32.             ___           STAMP                       $1.00           _____
  33.  
  34.             ___           VIEW                        $1.00           _____
  35.  
  36.                             Disk with Latest
  37.             ___           Version of Above           $10.00           _____
  38.  
  39.                             Printed
  40.             ___           Documentation              $10.00           _____
  41.  
  42.  
  43.                              TOTAL AMOUNT REMITTED:                   _____
  44.  
  45.  
  46.                              Please mail your payment to:
  47.  
  48.                                    ImagiSOFT, Inc.
  49.                                     P.O. Box 13208
  50.                            Albuquerque, New Mexico   87192
  51.  
  52.  
  53.  
  54.  
  55.  
  56.           Everyone who registers will receive a post card thanking them and
  57.           acknowledging receipt of their  payment.    Visa, Master Card and
  58.           American  Express  cards  are accepted for orders of $15 or more.
  59.           We accept checks written only on US Banks, but cash is welcome in
  60.           all currencies.  Thank you for your business!
  61.