PAK version 1.6                                 Registration Form
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     Make checks payable to:
       NoGate Consulting
       P.O. Box 88115
       Grand Rapids, MI 49518-0115
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   Qty
   ___ Command line version of PAK        @ $15 each         $______
   ___ Full screen version of PAK (PAKF)  @ $30 each         $______
   ___ Programmer's version of PAK        @ $50 each         $______
                                                Subtotal     $______
       Michigan residents please add 4% sales tax.           $______

       Shipping and handling - inside the United States        $3.50
                                                              - or -
                             - overseas                        $5.00

       Credit Card orders add 3% surcharge                   $______

                                                     Total   $______

     Diskette type (check or circle one):   [ ] 5.25"  [ ] 3.5"

     Payment: (check or circle one):
     [ ] Check  [ ] Money Order  [ ] Visa  [ ] MasterCard

     Credit Card #__________________________________________________

     Expiration Date _______  Signature ____________________________

     Credit Card Orders may be made by phone - (616)455-6270

   Checks and Money Orders must be drawn on U.S. banks in U.S. funds
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         Name_______________________________________________________

      Company_______________________________________________________

      Address_______________________________________________________

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        Phone_________________________  Bus.________________________

    Where did you obtain PAK?

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     Comments_______________________________________________________

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