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- || REGISTRATION INVOICE ||
- || FOR PC-QUIZZER ||
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- Date: ____________________ PC-Quizzer Version: ______ 2.2 ______
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- Name: ___________________________________________________________
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- Company: ________________________________________________________
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- Address: ________________________________________________________
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- City: ________________________ State: __________ Zip: ___________
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- ______ PC-Quizzer Registration: ($29) ............... $__________
- (Includes update disk only. NO Printed Manual!)
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- ______ PC-Quizzer Package: ($59) .................... $__________
- (Update, QIZEDIT, ARGUS, VIEW and Printed Manual)
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- ______ PC-Quizzer+ Enhanced Version: ($129) ......... $__________
- (Update, All utilities and Printed Manual)
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- ______ Sign-Language Quiz: ($59) .................... $__________
- (Specify graphics adapter and disk type below)
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- Disk format: SHIPPING, $3.00: $__________
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- [ ] 5.25" OHIO SALES TAX (5.75%): $__________
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- [ ] 3.5" TOTAL PAYMENT: $__________
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- [ ] Amex [ ] Mastercard [ ] Visa [ ] Check [ ] Money Order
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- Card #: ___________________________________ Exp. Date: __________
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- Signature: ______________________________________________________
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- Optional Information
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- Computer: ____________________ Dos Version: _____________________
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- Memory: ______________________ Disk: ____________________________
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- Monitor: _____________________ Adapter:__________________________
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- Speech Synthesizer (if any): ____________________________________
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- Local Area Network (if any): ____________________________________
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- Where did you get PC-QUIZZER from: ______________________________
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- Send Site License information (Y/N): ___________________________
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- || Please mail to: | Phone Orders: ||
- || | (614) 888-8088 ||
- || Data Assist, Inc. | Tech Support BBS: ||
- || P. O. Box 26114 | (614) 888-8056 ||
- || Columbus, Ohio 43226 | Thank you for your support!! ||
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