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Text File  |  1992-08-10  |  1KB  |  38 lines
  1.  
  2.                            REGISTRATION FORM/INVOICE
  3.  
  4.  
  5.  
  6.  
  7.       Remit To:                                Ship To:
  8.  
  9.       Infinity Data Products                   ____________________________
  10.       1404 Old Cape Road, Suite 203            ____________________________
  11.       P.O. Box 533                             ____________________________
  12.       Jackson, MO 63755                        ____________________________
  13.                                                ____________________________
  14.           
  15.                                                Contact Individual/Phone:
  16.       How did you get your copy of
  17.       W - The Note Writer?                     ____________________________
  18.                                                
  19.       ____________________________             ____________________________
  20.  
  21.   ___________________________________________________________________________
  22.    Quantity    Description                  Unit Price     Total
  23.   ---------------------------------------------------------------------------
  24.                          W - The Note Writer Version 4.0
  25.  
  26.     _____      Single User Registration        $  5.00    ___________
  27.  
  28.                    Missouri Residents Sales Tax @ 6.225%  ___________
  29.  
  30.                                                 Shipping     1.50
  31.  
  32.                                                TOTAL DUE  ____________
  33.  
  34.       Check One:  _____ 5 1/4" Disks
  35.        
  36.                   _____ 3 1/2" Disks
  37.  
  38.