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Text File  |  1990-12-27  |  3KB  |  105 lines
  1.        =========================================== Ver. 12/90b === Page 1 ===
  2.  
  3.        FM Software Registration/Order Form
  4.  
  5.  
  6.        Diskette format (check one):
  7.  
  8.        ___ 5.25" 320K   ___ 5.25" 1.2M   ___ 3.5" 720K   ___ 3.5" 1.4M
  9.  
  10.  
  11.         Quant   Item                            Price ea.     Total Price
  12.         -----   ----------------------------    ---------     -----------
  13.  
  14.         _____   Watch                               $25        _________
  15.  
  16.         _____   Play                                $25        _________
  17.  
  18.         _____   Play/R                              $15        _________
  19.  
  20.         _____   FM-Edit                             $35        _________
  21.  
  22.         _____   FM-Tune                             $10        _________
  23.  
  24.         _____   FB-01/MF Command Line Utils.        $10        _________
  25.  
  26.         _____   PLAY-PAK (Play,Play/R)              $35        _________
  27.  
  28.         _____   MidiTools (Watch,Play,Play/R)       $45        _________
  29.  
  30.         _____   FM-PAK/A (FM-Edit,FM-Tune,Utils)    $45        _________
  31.  
  32.         _____   FM-PAK (All programs)               $75        _________
  33.  
  34.  
  35.           Applicable bonus packages (check):
  36.  
  37.           ____  On high density media (1.2M/1.4M)                Free
  38.  
  39.           ____  On low desity media - include $5 handling      _________
  40.  
  41.  
  42.                                                  Subtotal      _________
  43.  
  44.                             PA Residents add 6% sales tax      _________
  45.  
  46.                                                     Total      _________
  47.  
  48.  
  49.            Make checks payable in US funds to: "Kevin Weiner".
  50.  
  51.        ======================================================================
  52.  
  53.        =========================================== Ver. 12/90b === Page 2 ===
  54.  
  55.        Shipping information:
  56.  
  57.            Your Name:          ___________________________________________
  58.  
  59.            Mailing Address:    ___________________________________________
  60.  
  61.                                ___________________________________________
  62.  
  63.                                ___________________________________________
  64.  
  65.                                ___________________________________________
  66.  
  67.            Electronic Address: ___________________________________________
  68.  
  69.  
  70.        -------------------------------------------------------------------
  71.  
  72.  
  73.        Vendor and Model of PC:       _____________________________________
  74.  
  75.        Operating System Version:     _____________________________________
  76.  
  77.        MIDI Interface:               _____________________________________
  78.  
  79.        Where software was obtained:  _____________________________________
  80.  
  81.  
  82.        --------------------------------------------------------------------
  83.  
  84.  
  85.        Mail this order form, together with your payment to:
  86.  
  87.                  Kevin Weiner
  88.                  FM Software
  89.                  1413 Spring St.
  90.                  Bethlehem, PA 18018
  91.  
  92.  
  93.  
  94.        Phone orders are also accepted.  Call (215) 865-7956. 
  95.        Order will be invoiced with shipment.
  96.  
  97.  
  98.        ----------------------------------------------------------------------
  99.  
  100.  
  101.  
  102.  
  103.        Tax ID # 189-48-9747
  104.        ======================================================================
  105.