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Text File  |  1992-07-18  |  2KB  |  56 lines
  1.         REGISTRATION INVOICE FOR IMPROCES, SVGA IMAGE PROCESSOR
  2.  
  3. Make all checks and money orders out to: John Wagner
  4.        Remit all payments to:     John Wagner
  5.                                   6161 El Cajon Blvd
  6.                                   Suite B-246
  7.                                   San Diego, CA 92115
  8.  
  9. Please do not change this code: APLUS
  10.  
  11. Name:______________________________________________________________
  12.  
  13. Company:___________________________________________________________
  14.  
  15. Address:___________________________________________________________
  16.  
  17. City:__________________________ State:__________ Zip:______________
  18.  
  19. Optional:
  20.  
  21. Version number of IMPROCES you are currently using:________________
  22.  
  23. Where did you obtain your copy of IMPROCES?________________________
  24.  
  25. Prices are shown in U.S. Dollars. Please ensure that your check is in
  26. U.S. Dollars, drawn from a U.S. bank.
  27.  
  28. Disk Size:  _____ 5 1/4" 360K      _____ 3 1/2" 1.44 meg
  29.  
  30. Quantity                          Price Ea.       Total
  31.  
  32. _______    IMPROCES               25.00           _____
  33.  
  34.        California Residents add State Tax         _____
  35.  
  36.          Outside of North America 10.00           _____
  37.  
  38.                               Total Enclosed _____________
  39. Credit Card orders:
  40.  
  41. NAME ON CARD:__________________________________________
  42.  
  43. VISA CARD #:___________________________________________
  44.  
  45. MASTER CARD #:_________________________________________
  46.  
  47. CARD EXPIRATION DATE:__________________________________
  48. MUST BE INCLUDED FOR PROCESSING!!!
  49.  
  50. Authorizing Signature:____________________________________
  51.  
  52. Note: Prices are for SINGLE USE ONLY licenses. A SITE LICENSE is
  53. available, contact John Wagner for more information.
  54.  
  55. Thank you for registering IMPROCES!
  56.