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Text File  |  1995-10-03  |  1KB  |  34 lines
  1. Product:  QuickPop 2.0
  2. ____________________________________________________________________
  3.  
  4. Registration information:
  5. [1]
  6. [2]
  7. [3]
  8. Phone/FAX:   [4]       [5]
  9.  
  10. Email:   [6]
  11.  
  12. Comments:   [7]  
  13.  
  14. Payment Method:   [8][9][10][11]
  15.  
  16. Price per copy............:   $10.00
  17. Number of copies........:   [12]
  18. Quantity Discount.......:   [13]
  19. Send Latest?...............:   [14]
  20. Sales Tax (CA Only)...:   [15]
  21.  
  22. Total Due....................:   [16]
  23.  
  24. [17]
  25. ____________________________________________________________________
  26. Print this form and send your check, money order (made payable to ΓÇ£John V. HolderΓÇ¥) or cash to:
  27.  
  28. John V. Holder                                                           Email addresses (AOL is preferred):
  29. 2862 Lowell Street                                                   America Online:  JohnHolder
  30. Eureka, CA  95501-4315                                         Internet...........:  JohnHolder@aol.com
  31. USA                                                                            CompuServe....:  75040,1126
  32.  
  33. FAX:  (707) 443-3813
  34.