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  1. To register your copy of VgaDim+, please print and fill out this form.
  2.  
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  4.                           VgaDim Plus, v1.21s
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  6.                            REGISTRATION FORM
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  8.  
  9.  LICENSEE:
  10.  
  11.   Name:    _____________________________
  12.  
  13.   Company: _____________________________
  14.  
  15.   Address: _____________________________ Suite _____
  16.  
  17.   City:    _____________________________ State _____ ZIP __________
  18.  
  19.   Phone:   (   ) ______________
  20.  
  21.   VgaDim+ obtained from: _________________________________________
  22.  
  23.  
  24.  ORDER FORM:
  25.  
  26.                       Qty.       Price      Amount
  27.  
  28.   Program License:    ____  x  $ 15.95 =   ________
  29.  
  30.   User's Guide:       ____  x  $  6.95 =   ________
  31.  
  32.   Program Diskette:   ____  x  $  3.95 =   ________      [3.5] or [5.25]
  33.  
  34.   Shipping/Handling:  ____  x  $  2.00 =   ________  (for Guide/Diskette)
  35.  
  36.   Subtotal:                                ________
  37.  
  38.   Sales Tax: - Illinois residents add 6%,
  39.              - Chicago residents add 8%)   ________
  40.  
  41.  
  42.   TOTAL:                                   ________
  43.  
  44.  
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  46.  
  47.   Thank you for your order, we appreciate your support.
  48.   Please, make your check or money order payable and mail to:
  49.  
  50.       Expert Systems Corp.
  51.       SPD Group
  52.       Lock Box 11253
  53.       Chicago, IL 60611-0253
  54.  
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