Registration for vxBase Assistant or vxBase Professional Assistant
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Find enclosed an order for:

Order Qty
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vxBase Assistant		@ $US 15.00	___  x	_________

vxBase Professional Assistant 	@ $US 35.00	___  x	_________

Plus

Postage and Handling for each	@ $US 5.00	____ x	_________

TOTAL							_________


Registration Details
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Name			_________________________________________

Address			_________________________________________

			_________________________________________

			_________________________________________

			_________________________________________


Compuserve Address	_________________________________________


Other Means of Contact

Phone			_________________________________________

Fax			_________________________________________