home *** CD-ROM | disk | FTP | other *** search
/ Simtel MSDOS 1992 June / SIMTEL_0692.cdr / msdos / laser / lsu504.arc / ORDER.FRM < prev    next >
Text File  |  1989-06-29  |  2KB  |  58 lines
  1.  
  2.  
  3.                              LASERJET SETUP UTILITY  5.04
  4.                              ____________________________
  5.                                      Guy Gallo
  6.                                   219 East 69th St.
  7.                                   New York, NY 10021
  8.                              ____________________________
  9.  
  10.                                  LICENSE REGISTRATION
  11.  
  12.  
  13.      Type of license              price       quantity           amount
  14.   ___________________________________________________________________________
  15.  
  16.      Personal                  @  $25.00      _______            __________
  17.  
  18.      Individual commercial     @  $35.00      _______            __________
  19.  
  20.      Update from prior version @  $15.00      _______            __________
  21.  
  22.      Site License
  23.  
  24.                   1 - 10      @   $30.00      _______            __________
  25.  
  26.                  11 - 20      @   $25.00      _______            __________
  27.  
  28.                  21 - 100     @   $20.00      _______            __________
  29.  
  30.  
  31.  
  32.      NYS residents add appropriate tax                           __________
  33.  
  34.                                              Total enclosed:     __________
  35.  
  36.  
  37.   ____________________________________________________________________________
  38.  
  39.  
  40.       name__________________________________________________________________
  41.  
  42.       street address________________________________________________________
  43.  
  44.       city___________________________________ state ________  zip __________
  45.  
  46.       computer__________________________
  47.  
  48.       where did you acquire LSU? __________________________________________
  49.  
  50.       if you are ordering disks, what format?        5.25 (  )    3.5  (   )
  51.  
  52.       comments and suggestions:
  53.  
  54.  
  55.  
  56.  
  57.  
  58.