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/ The Education Master 1994 (4th Edition) / EDUCATIONS_MASTER_4TH_EDITION.bin / files / wordmisc / idplabel / labels.exe / lha / REG-FORM.DOC < prev   
Text File  |  1992-09-14  |  2KB  |  54 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.       LABELER?                                 ____________________________
  18.                                                
  19.       ____________________________             ____________________________
  20.  
  21.                                                Individual or Company name 
  22.                                                for License Screen (MUST BE
  23.                                                FILLED IN):
  24.                                             
  25.                                                _____________________________
  26.   ___________________________________________________________________________
  27.    Quantity    Description                  Unit Price     Total
  28.   ---------------------------------------------------------------------------
  29.                              LABELER Version 3.0
  30.  
  31.     _____      Single User Registration        $ 25.00    ___________
  32.  
  33.                    Missouri Residents Sales Tax @ 6.225%  ___________
  34.  
  35.                                                 Shipping     3.00
  36.  
  37.                                                TOTAL DUE  ____________
  38.  
  39.       Check One:  _____ 5 1/4" Disks
  40.        
  41.                   _____ 3 1/2" Disks
  42.  
  43.       For Credit Card Orders:
  44.  
  45.  
  46.              _____ Master Card    _____ Visa
  47.  
  48.              Card #___________________________________
  49.  
  50.              Expiration Date ___/___
  51.  
  52.  
  53.              Signature_______________________________________
  54.