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Text File  |  1996-03-10  |  1KB  |  39 lines

  1. Product:  ScrapIt Pro 5.12
  2. ____________________________________________________________________
  3.  
  4. Registration information:
  5. [1]
  6. [2]
  7. [3]
  8. Phone/FAX:   [4]       [5]
  9.  
  10. Email:   [6]
  11.  
  12. Comments:   [7]  
  13.  
  14. Payment Method:   [8][9][10][11]
  15.  
  16. Price per copy................:   $20.00
  17. Number of copies............:   [12]
  18. Quantity Discount...........:   [13]
  19. Send Latest?...(adds $5):   [14]
  20. Disk Size (800k or HD):   [15]
  21. Sales Tax (CA Only).......:   [16]
  22. Note: Sales Tax is only
  23. collected if you've requested
  24. a disk and you live in
  25. California
  26.  
  27. Total Due.........................:   [17]
  28.  
  29. [18]
  30. ____________________________________________________________________
  31. Print this form and send your check, money order (made payable to ‚ÄúJohn V. Holder‚Äù) or cash to:
  32.  
  33. John V. Holder                                                           Email addresses (AOL is preferred):
  34. 2862 Lowell Street                                                   America Online:  JohnHolder
  35. Eureka, CA  95501-4315                                         Internet...........:  JohnHolder@aol.com
  36. USA                                                                            CompuServe....:  75040,1126
  37.  
  38. FAX:  (707) 443-3813
  39.