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Text File  |  1995-03-20  |  1.5 KB  |  44 lines  |  [TEXT/ttxt]
  1. *****************************************************************
  2.                                                               MasterScan Product Registration Form
  3. *****************************************************************
  4.  
  5. Name that will appear in  program :    _______________________(30 chars MAX)
  6. (If you are ordering more than one copy please specify names for each copy.)
  7. (The name (company) is REQUIRED, and will be used for personalizing the program.)
  8.  
  9. Please ship the program(s) to:
  10.  
  11.             ___________________________.
  12.  
  13.             ___________________________.
  14.  
  15.             ___________________________.
  16.  
  17.             ___________________________  (foreign addresses add necessary postage $$)
  18.  
  19. I would like to order ___ copies of MasterScan at $20.00 each (includes U.S. post).
  20.  
  21. ----------------------------------------------------------------------------
  22. I would like information on site licenses.  ____   (Check Here)
  23. ----------------------------------------------------------------------------
  24.  
  25.                                                                                                                             I am enclosing $_________ TOTAL
  26.                                                                                                                                      (Send U.S. Funds only, please)
  27.  
  28.  
  29. I would like to see this changed:  -OR-  I would like to see a program that does this:
  30. _________________________________________________________________.
  31. _________________________________________________________________.
  32. _________________________________________________________________.
  33. _________________________________________________________________.
  34.  
  35.  
  36. Please make checks payable to:
  37.         Joseph Laffey
  38.         4714 South Broadway
  39.         St. Louis, MO 63111-1308
  40.  
  41.  
  42.  
  43. Thank You.
  44.