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Text File  |  1994-10-26  |  1.7 KB  |  58 lines
  1.  
  2.  
  3. Mail to:
  4.                Advanced Personal Systems
  5.                105 Serra Way
  6.                Suite 418
  7.                Milpitas, CA. 95035
  8.  
  9.                Attn: Paul Griffith
  10.  
  11.                                O R D E R   F O R M
  12.  
  13.                                SysChk Version 2.40
  14.       -----------------------------------------------------------------
  15.  
  16.                           Name __________________________________
  17.  
  18.                        Company __________________________________
  19.  
  20.                        Street  __________________________________
  21.  
  22.       City, State, Zip/Country __________________________________
  23.  
  24.                                __________________________________
  25.  
  26.  
  27.      Registration Fee for SysChk    $29.00 ...........___________
  28.  
  29.  
  30.      California State Sales Tax      $2.39 ...........___________
  31.      (Only add if CA resident)
  32.  
  33.      Additional Shipping outside     $5.00 ...........___________
  34.      of United States and Canada
  35.      (We airmail all foreign shipments)
  36.  
  37.      TOTAL............................................___________
  38.  
  39.  
  40.      We normally ship 3.5" diskettes.  Check here if you
  41.      would like SysChk on a 5.25" diskette................________
  42.  
  43.      Where did you get SysChk? [ ] Compuserve    [ ] Ziffnet
  44.                                [ ] Friend        [ ] AOL
  45.                                [ ] Other_________________________
  46.  
  47.  
  48.      Comments ___________________________________________________
  49.  
  50.  
  51.      ____________________________________________________________
  52.  
  53.  
  54.      SysChk Wish List ___________________________________________
  55.  
  56.  
  57.      ____________________________________________________________
  58.