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Text File  |  1996-12-20  |  3KB  |  87 lines
  1.  
  2.                       TN-Image Image Analysis Software
  3.                          Registration Form 2.19
  4.  
  5.  Print this file, attach check, fold, tape, and mail. You'll receive
  6.  the latest version.  See TNIMAGE.DOC  for program description.
  7.  
  8.     Quantity  Description                              Price  Total
  9.    +--------+-----------------------------------------+------+------+
  10.    |        | TN-Image Image Analysis Software        |$25 US|      |
  11.    +--------+-----------------------------------------+------+------+
  12.    |        | Outside USA please add per item         | $5 US|      |
  13.    +--------+-----------------------------------------+------+------+
  14.    |        | (Maryland Residents only) State Tax     | $1 US|      |
  15.    +--------+-----------------------------------------+------+------+
  16.    |        | If paying with non-US currency: currency|      |      |
  17.    |        |  exchange fee (per check) please add    |$10 US|      |
  18.    +--------+-----------------------------------------+------+------+
  19.                                                        TOTAL |      |
  20.   Send payment to:                                           +------+
  21.                       T.J. Nelson
  22.                       Box 275
  23.                       11140 Rockville Pike
  24.                       Rockville, MD 20852, USA
  25.  
  26.   Program obtained from:
  27.        Compuserve    [  ]
  28.        SimTel        [  ]
  29.        America Online[  ]   If obtained from BBS, Disk vendor, user group
  30.        Friend        [  ]   or other, please provide the name (This will
  31.        BBS           [  ]   help ensure the latest version gets posted,
  32.        Disk vendor   [  ]   along with any update notices).
  33.        Ftp           [  ]
  34.        Other         [  ]   _______________________________
  35.  
  36.   Disk Size:  ___ 5.25" ___ 3.5" ____ Low density ___ High density
  37.  
  38.   Delivery   ____ First class mail
  39.    method:   ____ Federal express (Please add US $15)
  40.              ____ Express mail (Please add US $10)
  41.              ____ uuencoded e-mail  (Include your e-mail address below)
  42.              ____ ftp  (Include your e-mail address; a login & password
  43.                         will be sent allowing you to retrieve the file.)
  44.              ____ MIME encoded e-mail attachment (Your e-mail address below)
  45.                                                   
  46.  
  47.   Name:  _______________________________________________________________
  48.  
  49.   Address:  ____________________________________________________________
  50.  
  51.   City/State/Zip:  _____________________________________________________
  52.  
  53.   Country:   ___________________________________________________________
  54.  
  55.   e-mail address:  _____________________________________________________
  56.  
  57.   Comments, suggestions:
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  65.                                                                   +-----+
  66.                                                                   |Place|
  67.                                                                   |Stamp|
  68.                                                                   |Here |
  69.                                                                   +-----+
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  76.  
  77.                               T.J. Nelson
  78.                               Box 275
  79.                               11140 Rockville Pike
  80.                               Rockville, MD 20852
  81.                               USA
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