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Text File  |  1992-07-01  |  4.4 KB  |  60 lines
  1.                        ,-------------------------------,
  2.                        | PCT Product Registration Form |##
  3.                        `-------------------------------'##
  4.                          #################################
  5.  
  6. ,---------------------------------------------------------------------------,
  7. | PRODUCT NAME              | RELEASE DATE | PRICE | # OF UNITS | SUB TOTAL |
  8. |---------------------------+--------------+-------+------------+-----------|##
  9. | Menu Master               |  07-01-1992  |  $20  | *        = | $         |##
  10. |---------------------------+--------------+-------+------------+-----------|##
  11. | Tutor Master              |  07-01-1992  |  $20  | *        = | $         |##
  12. |---------------------------+--------------+-------+------------+-----------|##
  13. | DOS Master                |  07-01-1992  |  $20  | *        = | $         |##
  14. |---------------------------+--------------+-------+------------+-----------|##
  15. | Football History Database |  08-01-1992  |  $20  | *        = | $         |##
  16. |---------------------------+--------------+-------+------------+-----------|##
  17. | Pop/Rock Music Database   |  09-01-1992  |  $20  | *        = | $         |##
  18. |---------------------------------------------------------------+-----------|##
  19. |                                   | Sub Total                 | $         |##
  20. |---------------------------------------------------------------+-----------|##
  21. |                                   | Sales Tax in NM    5.813% | $         |##
  22. |---------------------------------------------------------------+-----------|##
  23. |                                   | Shipping in USA     $3.00 | $         |##
  24. |---------------------------------------------------------------+-----------|##
  25. |                                   | Shipping out of USA $6.00 | $         |##
  26. |---------------------------------------------------------------+-----------|##
  27. |                                   |                     TOTAL | $         |##
  28. `---------------------------------------------------------------------------'##
  29.    ############################################################################
  30.  
  31. ,---------------------------------------------------------------------------,
  32. | Order by Phone: (505) 821-4949 Prodigy ID: DKGV62A CompuServe: 71062,440  |
  33. |                                                                           |##
  34. |              Disk Size: [ ] 5 1/4" [ ] 3 1/2"                             |##
  35. |       Credit Card Info: [ ] VISA  [ ] MasterCard                          |##
  36. |                 Card #: _____ _____ _____ _____ Exp. Date: ___-___-___    |##
  37. |              Signature: ________________________                          |##
  38. |                                                                           |##
  39. | Make Checks Payable to:  Steve Green                                      |##
  40. |                     or:  Progressive Computer Technologies, Inc.          |##
  41. | Ship to:                 5100 Stream Ct. N.E.                             |##
  42. |                          Albuquerque, New Mexico 87113                    |##
  43. | NOTE: Checks and Money Orders MUST be drawn on US banks in US funds.      |##
  44. |                                                                           |##
  45. |    Name: ________________________________________ Prodigy ID: ___________ |##
  46. |                                                                           |##
  47. | Company: ___________________________________ CompuServe ID: _______,_____ |##
  48. |                                                                           |##
  49. | Address: ________________________________ Phone Number: (____) ____-_____ |##
  50. |                                                                           |##
  51. |    City: ___________________ State: ____ Zip: _________ Country: ________ |##
  52. |                                                                           |##
  53. | Where did you here about us: [ ] Prodigy     [ ] CompuServe [ ] BBS       |##
  54. |                              [ ] Disk Vendor [ ] Friend     [ ] Magazine  |##
  55. |                        Name: ____________________________________________ |##
  56. | Comments: _______________________________________________________________ |##
  57. |           _______________________________________________________________ |##
  58. `---------------------------------------------------------------------------'##
  59.    ############################################################################
  60.