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Text File  |  1993-10-12  |  1.5 KB  |  52 lines
  1.  
  2. Mail to:                                                FQ 1.72
  3.  
  4.           SYDEX
  5.           P.O. Box 5700
  6.           Eugene, OR  97405
  7.  
  8. Telephone: (503) 683-6033
  9. FAX:       (503) 683-1622
  10.  
  11.                        O R D E R   F O R M
  12.  
  13.  
  14.                           Name __________________________________
  15.  
  16.                        Company __________________________________
  17.  
  18.                        Street  __________________________________
  19.  
  20.       City, State, Zip/Country __________________________________
  21.  
  22.                                __________________________________
  23.  
  24.  
  25.      Registration Fee for Single-
  26.      System FormatQM License       $10.00 ...........___________
  27.  
  28.      Registration Fee for Multi-
  29.      System Site License           $40.00 ...........___________
  30.  
  31.      Shipping and Handling:
  32.         U.S. and Canada:            $2.50
  33.         Other countries:            $3.00 ...........___________
  34.      (We airmail all foreign shipments)
  35.  
  36.  
  37.      TOTAL...........................................___________
  38.  
  39.      Please indicate payment method:
  40.  
  41.      Purchase Order ___  Check/MO ___  VISA ___  MasterCard ___
  42.  
  43.      Credit Card No._______________________________ Exp. ________
  44.  
  45.      Signature_________________________________  Date ___________
  46.  
  47.      We normally ship 5.25" 360K diskettes.  Check here if you
  48.      need FormatQM on 3.5" 720K diskette.................________
  49.  
  50.      Where did you learn of FormatQM? ____________________________
  51.  
  52.