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Text File  |  1992-08-19  |  2KB  |  56 lines
  1.  
  2.                             SpeedSOFT Development
  3.                             Z/Install version 1.0
  4.                               Registration Form
  5.  
  6.    ************************************************************************
  7.  
  8.    Send me ___ copies of Z/Install at $74.95 US each             $_________
  9.  
  10.    Disk size (low density): [ ] 3.5"  [ ] 5.25"
  11.  
  12.    Shipping & Handling    : [ ] Canada   ($5)                    $_________
  13.                             [ ] USA      ($8)
  14.                             [ ] Other   ($15)
  15.  
  16.    Special Delivery       : [ ] FedEx Canada ($15)               $_________
  17.                             [ ] FedEx USA    ($20)
  18.                             [ ] FedEx Other  ($35)
  19.  
  20.    Sub-Total                                                     $_________
  21.  
  22.    British Columbia residents add 6% PST                         $_________
  23.  
  24.    TOTAL                                                         $_________
  25.  
  26.    ************************************************************************
  27.  
  28.    Make cheques and money orders payable to SpeedSOFT Development.  All
  29.    cheques must be drawn from a US bank.  Canadian residents must obtain
  30.    money orders in US funds.
  31.  
  32.  
  33.    Name ____________________________________ Phone ________________________
  34.  
  35.    Company Name ___________________________________________________________
  36.  
  37.    Address ________________________________________________________________
  38.  
  39.    City ____________________________________ St/Prov ______________________
  40.  
  41.    Country _________________________________ Zipcode ______________________
  42.  
  43.  
  44.    Where did you obtain Z/Install?
  45.  
  46.    [ ] friend           [ ] CompuServe          [ ] pay BBS
  47.    [ ] free BBS         [ ] vendor              [ ] other
  48.  
  49.    Name of source _________________________________________
  50.  
  51.  
  52.         SpeedSOFT Development
  53.         2232 Tashy Place
  54.         Victoria, BC, Canada
  55.         V8N 4R6
  56.