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Text File  |  1999-02-08  |  1.7 KB  |  49 lines

  1. Software Registration Form             Purchase Order     
  2.                                              Date:________
  3. ____________________________________________________________________
  4. Name:
  5. [1]
  6. [2]
  7. [3]
  8. Phone/FAX:   [4]       [5]
  9.  
  10. Email:   [6]
  11.  
  12. Comments:   [7]  
  13.  
  14. Payment Method..........:   [8]
  15. Purchase Order #.......:   [9][10][11]
  16.  
  17. Products Ordered:
  18. ([12]) PopAddress 1.0 ($20 each).................:   [13]
  19. ([14]) EZNote 1.3 ($20 each)........................:   [15]
  20. ([16]) ScrapIt Pro 5.44 ($20 each)..............:   [17]
  21. ([18]) QuickScrap 1.1 ($15 each).................:   [19]
  22. ([20]) ScrapIt Pro & QuickScrap ($30 each):   [21]
  23. ([22]) QuickPop ($10 each)...........................:   [23]
  24. ([24]) ViewFont ($5 each)..............................:   [25]
  25. ([26]) ColorFall ($10 each)...........................:   [27]
  26. ([28]) Escape! ($10 each)..............................:   [29]
  27. ([30]) SideMinder ($10 each)........................:   [31]
  28.  
  29. Quantity Discount...........:   [32]
  30. Send Latest?...(adds $5):   [33]
  31. Disk Size (800k or HD):   [34]
  32. Sales Tax (CA Only).......:   [35]
  33. Note: Sales Tax is only collected if you've requested a disk and you live in California
  34.  
  35. Total Due.........................:   [36]
  36.  
  37. [37]
  38. ____________________________________________________________________
  39. Please send this form to:
  40.  
  41. John V. Holder                                                           Email addresses (AOL is preferred):
  42. 1734 "S" Street                                                        America Online:  JohnHolder@aol.com
  43. Eureka, CA  95501                                                   Internet...........:  jvholder@northcoast.com
  44. USA
  45.  
  46. FAX:  (707) 443-3813
  47.  
  48. Home Page:   http://www.northcoast.com/~jvholder
  49. (check for the latest new releases and updates!)