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  1. Registration for vxBase Assistant or vxBase Professional Assistant
  2. ------------------------------------------------------------------
  3.  
  4. Find enclosed an order for:
  5.  
  6. Order Qty
  7. ---------
  8.  
  9. vxBase Assistant        @ $US 15.00    ___  x    _________
  10.  
  11. vxBase Professional Assistant     @ $US 35.00    ___  x    _________
  12.  
  13. Plus
  14.  
  15. Postage and Handling for each    @ $US 5.00    ____ x    _________
  16.  
  17. TOTAL                            _________
  18.  
  19.  
  20. Registration Details
  21. --------------------
  22.  
  23. Name            _________________________________________
  24.  
  25. Address            _________________________________________
  26.  
  27.             _________________________________________
  28.  
  29.             _________________________________________
  30.  
  31.             _________________________________________
  32.  
  33.  
  34. Compuserve Address    _________________________________________
  35.  
  36.  
  37. Other Means of Contact
  38.  
  39. Phone            _________________________________________
  40.  
  41. Fax            _________________________________________