Category : Science and Education
Archive   : X10EC102.ZIP
Filename : REGISTER.FRM

X10EC *REGISTRATION FORM* X10DC
X-10 Event Control X-10 Direct Control
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Complete this form and send with a Cheque/Money Order to:
DAVID HURAS +-----------------------+
37 Ruddell Crescent | See REGISTER.CIS to |
Georgetown, Ontario L7G 5N4 |Register via CompuServe|
CANADA +-----------------------+
PRICE (each)
USA CANADA OTHER Quantity Total
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( ) X10EC Registration $25.00 $25.00 $25.00US
+ Shipping 0.00 0.00 2.00US
X10EC Cost $25.00 $25.00 $27.00US _____ $_______
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( ) X10DC Registration $20.00 $20.00 $20.00US
+ Shipping 0.00 0.00 2.00US
X10DC Cost $20.00 $20.00 $22.00US _____ $_______
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( ) X10DC + X10EC Reg. $40.00 $40.00 $40.00US
Shipping 0.00 0.00 2.00US
X10DC Cost $40.00 $40.00 $42.00US _____ $_______
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( ) X10EC Special Price: X10DC Serial No. (reg'd): _________________
For X10DC Users $20.00 $20.00 $20.00US
Shipping 0.00 0.00 2.00US
X10DC Cost $20.00 $20.00 $22.00US _____ $_______
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( ) X10DC Special Price: X10EC Serial No. (req'd): _________________
for X10EC Users $15.00 $15.00 $15.00US
Shipping 0.00 0.00 2.00US
X10DC Cost $15.00 $15.00 $17.00US _____ $_______
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TOTAL ENCLOSED...........................................$_______

PRICES are quoted by shipping destination. +--------------------+
USA Prices are quoted in U.S. Dollars. | Cheques must be |
CANADIAN Prices are quoted in Canadian Dollars.| drawn on Banks in |
OTHER Prices are quoted in U.S. Dollars. | the USA or CANADA. |
| Otherwise include a|
Shipping Address (PLEASE PRINT) | Money Order-PLEASE |
---------------- | DO NOT SEND CASH |
+--------------------+
Name ____________________________________________

Company ____________________________________________

Address ____________________________________________

____________________________________________

Phone __________________ Business ________________

( ) 3«" Diskette ùORù ( ) 5¬" Diskette

THANK YOU FOR YOUR SUPPORT! X10EC v1.00