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