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Chip Hitware 6 B
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ActionOutline
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ORDER.FRM
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1999-01-06
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ActionOutline 1.5.1: Order form
===============================
* Order by Fax
Fill in the form below, print it out, and FAX it
to 770-497-9234.
* Order by Mail
Fill in the form below, print it out, and Mail it
along with a check in US Dollars to:
RegSoft.com
6595-G Roswell Road
Suite 732
Atlanta, GA 30328
* Order by Voice
Call 1-877-REGSOFT
(international orders please call 770-497-9126).
Please Have the Product ID number ready.
================================
* Product ID 5956
* Program Name ActionOutline
* Registration $21.95
* Quantity ____
Please be sure your email address is correct!
This is how you will receive your registration
confirmation.
HOTMAIL email addresses, and other email forwarding
addresses are NOT accepted. Compuserve users please
use a period (.) instead of a comma(,) 1234.567 not
1234,567.
Billing Information:
--------------------
* Email Address:
* Name (as it appears on credit card):
* Company Name (optional):
* Address (Exactly as it appears on your statement):
* City:
* State/Province:
* Country:
* Postal Code:
* Phone Number:
* Payment Info:
[ ] Visa
[ ] MasterCard
[ ] American Express
[ ] Discover (Novus)
[ ] Check
* Card Number:
* Card Expiration Date:
* Signature: