         PCS IPF Editor Order and Registration Form
             (Revised August 19, 1993)

Perez Computing Services              
4725 Monte Vista Pl.                 
Mount Vernon, WA 98273, USA
                      
Phone: (206) 428-5025
Compuserve: 70410,2416
Prodigy: GFKM03A


  Please place a check mark in the boxes below and then add up the 
  totals or call 1-206-428-5025 to order C.O.D. for faster delivery
  or for Purchase Orders.

[ ] Registered IPF Editor 1.0 ($95)............................... ________
[ ] Registered IPF Editor Printed Documentation ($30)............. ________

          
                                        Shipping & Handling....... _$5.00__
 International Shipping & Handling ($5, non-US orders only)....... ________
                           Washington residents add 7.8% tax...... ________

                                                    Total enclosed ________


Please select disk size:  5.25 High Density
                          3.5  High Density
                          3.5  Low Density

          Name: _______________________________________________

  Company Name: _______________________________________________

       Address: _______________________________________________

          City: _________________________

         State: ________              Zip: ____________

       Country: ____________________  Phone: __________________


Payment by:  [ ] Check   [ ] Money order  

Please allow one to two weeks for delivery.  For faster delivery please call
PCS.

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