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Text File  |  1993-10-28  |  1.3 KB  |  60 lines
  1.  
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  6.                Track-It Registration Form
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  9.          Company Name: ______________________________________
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  11.          Contact Name: ______________________________________
  12.  
  13.          Shipping Address: __________________________________
  14.  
  15.          City: ______________________________________________
  16.  
  17.          State ______________________  Zip Code _____________
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  19.          Phone Number: (    ) ______ - ____________
  20.  
  21.          Serial Number of copy being registered _____________
  22.            (Found by pressing the F3 key at the main menu)
  23.  
  24.          Media Type:       5.25" disk( )        3.5" Disk ( )
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  27.          Method of Payment:
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  29.          Check: ( )   Cashiers Check: ( )    Money Order: ( )
  30.           Visa: ( )       Mastercard: ( )                    
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  33.          Card Number: _______________________________________
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  35.           Expiration: _______________________________________
  36.  
  37.         Name on card: _______________________________________
  38.            
  39.            Signature: _______________________________________
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  41.                         Track-It $ 149.00
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  43.                      Shipping & Handling $   5.00
  44.  
  45.                         Tax      $_______
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  47.                         Total    $_______
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  50.          Please make check payable to Millennium Software.
  51.          
  52.          Mail completed form and payment to:
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  54.          Millennium Software
  55.          P.O. Box 2209
  56.          Dublin, Ca. 94568
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