Category : File Managers
Archive   : QCOPY2B.ZIP
Filename : ORDER.TXT

QuickCopy Registration
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STEP TO ORDER:
1. Print this form on your printer or hand copy.
To print - COPY ORDER.TXT PRN
2. Fill out information needed legibly.
- If questions 1 to 6 are not answered, QuickCopy won't be sent.
3. Send a check (payable to Brian Bernacki) or cash & order form
to Brian Bernacki
3517 Northway Dr.
Balto, MD 21234
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1. Name : ________________________________

2. Address : ________________________________

3. City,State : ________________________________

4. ZIP Code : ___________

5. Current Version : _______________

5. Registration : First-Time Registration yes / no

If NO - Registration Number ______________

6. Disk Size : 5.25" _______ -OR- 3.5" (add $2.00) _______

7. Comments : ______________________________________________________

______________________________________________________

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Prices : First-Time registration - $10.00
Re-Registration - $ 7.00 (must have reg. number)

3.5" Disk - $ 2.00 (extra)

--[ TOTAL PRICE OF ORDER ]-------------> Total: $___________

MAKE CHECKS PAYABLE TO 'BRIAN BERNACKI' OR SEND CASH!
I, Brian Bernacki, am not responsible for lost or misdeirected mail.