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Text File  |  1993-07-04  |  2KB  |  53 lines
  1.                            Registration and Order Form
  2.  
  3.                               Home Sales System 3.21
  4.  
  5.                              (please print or type)
  6.  
  7.      Mail to:
  8.             Grumpyware
  9.             9794 Forest Lane
  10.             Suite 127
  11.             Dallas, Texas, 75243
  12.  
  13.      Date     : ____________________
  14.  
  15.      Full Name: ______________________________________________________
  16.  
  17.      Company  : ______________________________________________________
  18.  
  19.      Address  : ______________________________________________________
  20.  
  21.      City     : ____________________________  State: _________________
  22.  
  23.      Zip      : ______________  Phone: (_______)______________________
  24.  
  25.      Registration Fee ....... Number of copies _______ x $50.00 = $________
  26.  
  27.      Shipping and Handling .. Number of copies _______ x  $1.95 = $________
  28.  
  29.      We normally ship 5.25" 360k diskettes.
  30.      If you need the software on a 3.5" 720k
  31.      diskette add $1.00 per copy.
  32.  
  33.                               Number of 3.5"   _______ x  $1.00 = $________
  34.  
  35.      Subtotal ................................................... $________
  36.  
  37.      Sales Tax
  38.      (Texas residents add 8.25%) ................................ $________
  39.  
  40.      Total ...................................................... $________
  41.  
  42.      Where did you learn about Home Sales System 3.21 ? ___________________
  43.  
  44.      ______________________________________________________________________
  45.  
  46.      Comments _____________________________________________________________
  47.  
  48.      ______________________________________________________________________
  49.  
  50.      ______________________________________________________________________
  51.  
  52.      ______________________________________________________________________
  53.