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Text File  |  1997-06-23  |  1.0 KB  |  27 lines
  1.         DLL Master Order Form
  2.  
  3. Please register me (us) as a licensed owner of DLL Master:
  4. Name:           ____________________________________________________
  5. Company:        ____________________________________________________
  6. Address:        ____________________________________________________
  7.         ____________________________________________________
  8. City:           _______________________ State: ______ Zip: _________
  9. Country:        ___________________
  10. Date:           ___________________
  11.  
  12.             Fee per copy                            $   25
  13.             CA Tax ($1.81 or $2.06)                 $__________
  14.             S&H  outside N. America $3              $__________
  15.             Check Total (U.S. dollars)              $__________
  16.  
  17. First acquired or learned about DLL Master from:
  18.     ( ) Friend  ( ) Coworker    ( ) Catalog     
  19.     ( ) Website:______________________________________________
  20.     ( ) BBS:____________________ ( ) Other:___________________
  21.                             06-4.2
  22.     Send to:    Shaftel Software
  23.         P.O. Box 12485
  24.         La Crescenta, CA 91224-5485
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