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Text File  |  1995-10-31  |  2KB  |  57 lines

  1.  
  2.  
  3. Mail to:
  4.                Advanced Personal Systems
  5.                105 Serra Way
  6.                Suite 418
  7.                Milpitas, CA. 95035
  8.  
  9.                Attn: Paul Griffith
  10.  
  11.                              O R D E R   F O R M
  12.  
  13.                              SysChk Version 2.42
  14.       -----------------------------------------------------------------
  15.  
  16.                           Name __________________________________
  17.  
  18.                        Company __________________________________
  19.  
  20.                        Street  __________________________________
  21.  
  22.       City, State, Zip/Country __________________________________
  23.  
  24.                                __________________________________
  25.  
  26.                           Date __________________________________
  27.  
  28.  
  29.      Registration Fee for SysChk    $29.00 ...........___________
  30.  
  31.  
  32.      California State Sales Tax      $2.32 ...........___________
  33.      (Only add if CA resident)
  34.  
  35.      Additional Shipping outside     $5.00 ...........___________
  36.      of United States and Canada
  37.      (We airmail all foreign shipments)
  38.  
  39.      TOTAL............................................___________
  40.  
  41.  
  42.      Where did you get SysChk? [ ] Compuserve    [ ] Ziffnet
  43.                                [ ] Friend        [ ] AOL
  44.                                [ ] Other_________________________
  45.  
  46.  
  47.      Comments ___________________________________________________
  48.  
  49.  
  50.      ____________________________________________________________
  51.  
  52.  
  53.      SysChk Wish List ___________________________________________
  54.  
  55.  
  56.      ____________________________________________________________
  57.