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Text File  |  1996-03-10  |  923b  |  42 lines
  1. Product:  ScrapIt Pro 5.12
  2. ____________________________________________________________________
  3.  
  4. Name:
  5. [1]
  6. [2]
  7. [3]
  8. Phone/FAX:   [4]       [5]
  9.  
  10. Email:   [6]
  11.  
  12. Comments:   [7]  
  13.  
  14. Payment Method:
  15. [8]
  16. [9]
  17. [10]
  18. [11]
  19.  
  20. Price per copy..........:   $20.00
  21. Number of copies........:   [12]
  22. Quantity Discount.......:   [13]
  23. Send Latest?...(adds $5):   [14]
  24. Disk Size (800k or HD)..:   [15]
  25. Sales Tax (CA Only).....:   [16]
  26. Note: Sales Tax is only
  27. collected if you've requested
  28. a disk and you live in
  29. California
  30.  
  31. Total Due...............:   [17]
  32.  
  33. [18]
  34. ____________________________________________________________________
  35. Email this registration form to:
  36.  
  37. John V. Holder                   Email addresses (AOL is preferred):
  38. 2862 Lowell Street               America Online:  JohnHolder
  39. Eureka, CA  95501-4315           Internet......:  JohnHolder@aol.com
  40.                                  CompuServe....:  75040,1126
  41. FAX:  (707) 443-3813
  42.