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Text File  |  1991-07-16  |  2KB  |  53 lines
  1.  
  2.                               VOCABULARY PRIMER
  3.                          (c) Denis L Latkowski, 1991
  4.                               
  5.                               REGISTRATION FORM
  6.                               
  7. DATE______________________
  8.  
  9. I would like to register for VOCAB:
  10.  
  11.   [ ]  single user          ______ copies      @25 each    __________ total
  12.  
  13.   [ ]  site license                            @125              $125
  14.  
  15.                                            shipping/handling     $2.00
  16.                                                                 _________
  17.                                            total enclosed:
  18.  
  19.  
  20.   disk format requested:
  21.    [ ]  5 1/4" DSDD (360K)     $.00     [ ]  3 1/2" DSDD (720K)
  22.  
  23.    [ ]  5 1/4" DSHD (1.2 meg)  $.00     [ ]  3 1/2" DSHD (1.4 meg)
  24.  
  25.  
  26.  
  27.   Mailing address:
  28.  
  29.     COMPANY/SCHOOL ___________________________________________________________
  30.  
  31.  
  32.     NAME______________________________________________________________________
  33.  
  34.  
  35.    STREET ADDRESS_____________________________________________________________
  36.  
  37.    CITY____________________________________ STATE_________________ ZIP________
  38.  
  39.    PHONE NUMBER ______________________________________________
  40.  
  41.   Please make check/ money order out to:  Denis L. Latkowski
  42.  
  43.   Please mail this form and check/m.o. to:
  44.   
  45.            Mr. Denis L. Latkowski
  46.            417 Tantallion Court
  47.            Baltimore, Maryland 21212
  48.  
  49.  
  50.    Your registered copy of VOCABULARY PRIMER will be mailed within two or
  51.    three days of receipt of your order.
  52.  
  53.