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Text File  |  1991-02-28  |  6.1 KB  |  110 lines
  1.  
  2.      Send with your check to:
  3.  
  4.                ORION Microsystems
  5.                Po Box 128, PIERREFONDS
  6.                QUEBEC - CANADA - H9H 4K8
  7.  
  8.  
  9.          ____________________________________________________________________ 
  10.         |                                                                    |
  11.         |                   ZOOM/SHARE REGISTRATION FORM                     |
  12.         |____________________________________________________________________|
  13.         |                                                                    |
  14.         |     Name :  ______________________________________________         |
  15.         |                                                                    |
  16.         |  Company :  ______________________________________________         |
  17.         |                                                                    |
  18.         |  Address :  ______________________________________________         |
  19.         |                                                                    |
  20.         |    Phone :  _________________ Office :____________________         |
  21.         |                                                                    |
  22.         |                                                                    |
  23.         | Signature:_____________        Date  :____________________         |
  24.         |                                                                    |
  25.         |____________________________________________________________________|
  26.         |                                                                    |
  27.         | Item                                       Qty  US/Can    Price    |
  28.         |____________________________________________________________________|
  29.         |                                                                    |
  30.         |    ZOOM/Share Registration Only            .... $12/$15   $_____   |
  31.         |                                                                    |
  32.         |    ZOOM/Share registration + diskette      .... $15/$20   $_____   |
  33.         |        (Documentation on diskette)                                 |
  34.         |                                                 Subtotal  $_____   |
  35.         |      Canadian residents please add 7% GST*                $_____   |
  36.         |      Shipping & Handling if diskette ordered     $5.00             |
  37.         |                                                         ________   |
  38.         |                                                                    |
  39.         |                                                 Total     $_____   |
  40.         |                                                                    |
  41.         |    Diskette Format:   3"1/2         5"1/4                          |
  42.         |                                                                    |
  43.         |    Include Check or Money order payable to ORION Microsystems      |
  44.         |    Sorry Credit cards are not accepted !                           |
  45.         |____________________________________________________________________|
  46.  
  47.         * Non business Quebec Residents must add 8% on SubTotal + GST
  48.  
  49.                                    Enhanced Version
  50.  
  51.          ____________________________________________________________________ 
  52.         |                                                                    |
  53.         |                        ZOOM  ORDER  FORM                           |
  54.         |____________________________________________________________________|
  55.         |                                                                    |
  56.         |     Name :  ______________________________________________         |
  57.         |                                                                    |
  58.         |  Company :  ______________________________________________         |
  59.         |                                                                    |
  60.         |  Address :  ______________________________________________         |
  61.         |                                                                    |
  62.         |    Phone :  _________________ Office :____________________         |
  63.         |                                                                    |
  64.         |                                                                    |
  65.         | Signature:_____________        Date  :____________________         |
  66.         |                                                                    |
  67.         |____________________________________________________________________|
  68.         |                                                                    |
  69.         | Item                                       Qty  US/Can    Price    |
  70.         |____________________________________________________________________|
  71.         |                                                                    |
  72.         | I want to order ZOOM the non shareware     ...  $35/$40   $______  |
  73.         | version with all features as described                             |
  74.         | in document + BIG CHARACTERS MANUAL                                |
  75.         |                                                 Subtotal  $______  |
  76.         |    Canadian residents please add 7% GST*                  $______  |
  77.         |    Shipping & Handling                                    $  5.00  |
  78.         |    ($10.00  Outside North America)                        ________ |
  79.         |                                                                    |
  80.         |                                                 Total     $______  |
  81.         |                                                                    |
  82.         |    Diskette Format:   3"1/2         5"1/4                          |
  83.         |                                                                    |
  84.         |    Include Check or Money order payable to ORION Microsystems      |
  85.         |    Sorry Credit cards are not accepted !                           |
  86.         |____________________________________________________________________|
  87.  
  88.         * Non business Quebec Residents must add 8% on SubTotal + GST
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