Order Form #V111193 Remit to: DAVID CHEN ORDER DESK, 45 Hanson Avenue, Dover, NH 03820 SYACC Version 1.3.1 November 1993 ____ SYACC Registration ......................... @ $ 66.00 ea $ ______ (Includes latest version of the program and documentation on the disk.) 5.25" disk ___ or 3.5" disk ___ Subtotal $ ______ Shipping via US Postal Service, prepaid: ____ USA/Canada shipping ....................... @ $ 5.00 ea $ ______ ____ Overseas shipping ......................... @ $ 12.00 ea $ ______ Total (U.S.Funds) $ ______ drawn on U.S.Bank Payment by: ( ) Check ( ) MC ( ) Visa ( ) PO # ______________ Name: ____________________________________________________________ Company (if purchase is for company use):____________________________ Address: ____________________________________________________________ : ____________________________________________________________ : ____________________________________________________________ Day Phone: _________________________ Eve: ___________________________ Card #: _________________________________ Exp. Date: _______________ Signature of cardholder: ____________________________________________ Prices subject to change without notice. ------------------------ User comments ------------------------------ I acquired SYACC v.1.3.1 from [ ] - Friend [ ] - Software product [ ] - Computer Club [ ] - Computer Store [ ] - Data Base Service [ ] - Electronic BBS [ ] - Other - Please Specify ________________________________ We would also appreciate any input you would care to give concerning SYACC. If you have any ideas or comments that would make SYACC a better program, then please let us know. We value your comments! Comments and/or suggestions: ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________