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Text File  |  1991-05-22  |  3KB  |  55 lines
  1.                        ================================
  2.                         ROBOCOMM 3.1 REGISTRATION FORM
  3.                        ================================
  4.  
  5.                         Remit to:    Parsons Consulting
  6.                                      P.O. Box 67D07
  7.                                      Los Angeles, CA  90067
  8.                                      U.S.A.
  9.  
  10.          ------------------------------------------------------------------
  11.          | Item                          | Quantity |  Price |    Total   |
  12.          |-------------------------------|----------|--------|------------|
  13.          | Robocomm version 3.1          | ________ | $35.00 | __________ |
  14.          |                               |          |        |            |
  15.          | Printed Documentation         | ________ | $10.00 | __________ |
  16.          |                               |          |        |            |
  17.          | CA resident's sales tax       |          |   7%   | __________ |
  18.          |                               |          |        |            |
  19.          | Shipping (Outside of U.S.)    | ________ |  $5.00 | __________ |
  20.          |---------------------------------------------------|------------|
  21.          |                                                   |            |
  22.          |   Total amount enclosed                           | __________ |
  23.          ------------------------------------------------------------------
  24.  
  25.          Check desired disk format:    ( ) 5.25" OK   ( ) 3.5" Required
  26.  
  27.          Payment by:  ( ) Check or money order (U.S. funds only)
  28.                       ( ) MasterCard
  29.                       ( ) Visa
  30.                       ( ) PO # ______________
  31.  
  32.          Card #: ____________________________________  Exp. Date: _________
  33.  
  34.  
  35.      Signature of card holder: ____________________________________________
  36.  
  37.  
  38.          Name:     ________________________________________________________
  39.  
  40.          Company:  ________________________________________________________
  41.  
  42.          Address:  ________________________________________________________
  43.  
  44.                    ________________________________________________________
  45.  
  46.                    ________________________________________________________
  47.  
  48.          Phone:    ________________________________________________________
  49.  
  50.         FLASH:  INSTANT GRATIFICATION REGISTRATION ONLINE AT GROUP ONE BBS!
  51.                 Call Group One BBS and register with MasterCard or Visa and
  52.                 receive your personalized ROBOUSR.DEF file immediately!
  53.                                 >>>> 213-556-3894 <<<<
  54.  
  55.