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  1.          Decoder 1.3.6 Registration Form
  2. ---------------------------------------------------
  3. To register online, go to 
  4. <http://www.harmonysoftware.com>.
  5.  
  6. To register by mail or fax, fill out this form and
  7. mail to:
  8.  
  9. Harmony Software
  10. PO Box 202401
  11. Denver, CO 80220-8401
  12.  
  13. or fax to:
  14. (303) 333-7774
  15. ---------------------------------------------------
  16. Name:         _____________________________________
  17. Organization: _____________________________________ 
  18. Email:        _____________________________________ 
  19. Address:      _____________________________________ 
  20. Address:      _____________________________________ 
  21. Zip:          _____________________________________ 
  22. City:         _____________________________________ 
  23. Phone:        _____________________________________ 
  24. Fax:          _____________________________________ 
  25.  
  26. if not in the USA
  27. Country:      _____________________________________ 
  28. ---------------------------------------------------
  29. The price for Decoder 1.3.6 is $10.00 per copy.
  30. Please contact Harmony Software directly for 
  31. multiple copy discounts and/or site licenses.
  32.  
  33. Payment method:
  34.   Check/Cash       [ ]
  35.   Visa             [ ]
  36.   Mastercard       [ ]
  37.   Discover/Novus   [ ]
  38.   American Express [ ]
  39.  
  40. if paying by credit card,
  41.  
  42. Credit card number: _______________________________
  43.  
  44. Expiration date:    ____________
  45. ---------------------------------------------------
  46. Comments: 
  47.  
  48.  
  49. ---------------------------------------------------
  50. Please allow 7-10 business days for mail orders and 
  51. 3-5 business days for fax orders.
  52.  
  53.              Thanks for your order
  54.                 have a nice day