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Text File  |  1990-06-26  |  2.8 KB  |  81 lines
  1.  
  2.                      LET YOUR PRINTER DO ALL THE WORK!!!
  3.  
  4.          -------------------  INSTANT MAILER  ----------------------
  5.               Please support quality shareware by registering it.
  6.  
  7.                            ZCOMM Registration form
  8.  
  9.  
  10. Send To:            Omen Technology INC             FAX: 503-621-3735
  11.                     POB 4681
  12.                     Portland OR  97208-4681
  13.  
  14.  
  15.  
  16.      ZCOMM Registration, Typeset manual, Disk           $40.00    ______
  17.  
  18.      3.5 inch disk instead of 5.25 inch                 $ 5.00    ______
  19.  
  20.      3-ring custom binder for manual                    $10.00    ______
  21.  
  22.      UPS BLUE (domestic second day air)                 $ 5.00    ______
  23.  
  24.      International Air Mail (Add $5.00 for binder)      $10.00    ______
  25.  
  26.  
  27.                                              + $5.00 Shipping and Handling
  28.                                                for credit card
  29.  
  30.                                         (U.S. funds)    Total     ______
  31.  
  32. Payment by:  Check (U.S. bank or branch) enclosed ( )    MC ( )     VISA ( )
  33.  
  34.             Purchase orders for less than $150 must be prepaid.
  35.             Federal TAX ID #: 930858776 Oregon TAX ID #: 536565
  36.  
  37. Use Address on envelope ( )    check ( )   OR:
  38.  
  39. Name     ___________________________________________________________________
  40.  
  41. Address  ___________________________________________________________________
  42.  
  43.           __________________________________________________________________
  44.  
  45.           __________________________________________________________________
  46.  
  47.           __________________________________________________________________
  48.  
  49.  
  50.             ..... Following only needed for Credit Card .....
  51.  
  52. Work Phone  (____) __________________  Home Phone   (____)  ________________
  53.  
  54. Card #  _____________________________________________  Expires _____________
  55.  
  56. Cardholder name  ___________________________________________________________
  57.  
  58. Signature __________________________________________________________________
  59.  
  60.          -------------------  INSTANT MAILER  ----------------------
  61.  
  62. Fold at the page break below with the printing facing out.  Then fold
  63. letter style, exposing the mailing address and hiding your information.
  64. If necessary, staple check to the mailer, then staple or tape sides and top.
  65.  
  66. _________________________________                                     Place
  67.  
  68. _________________________________                                     Stamp
  69.  
  70. _________________________________                                     Here
  71.  
  72.  
  73.  
  74.  
  75.  
  76.                                          Omen Technology INC
  77.                                          Post Office Box 4681
  78.                                          Portland OR  97208-4681  U.S.A.
  79.  
  80. ZCOMM 06-25-90
  81.