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         -------------------  INSTANT MAILER  ----------------------
              Please support quality shareware by registering it.
                        We thank you for your support.

                          DSZ PAID Registration form

Remit To:           Omen Technology INC
                    POB 4681
                    Portland OR  97208-4681

    DSZ Quantity Discount Schedule, (per purchase).  Each:

      1       $20.00   2-10    $18.00   11-49   $15.00   50-99   $13.00
      100-199 $12.00   200-499 $10.00   500-999 $ 8.00   1000+   $ 5.00


____ DSZ Registration(s) & Disk (5.25 in)            $20.00  or  ______

     3.25 inch disk instead of 5.25 inch ADD         $ 5.00      ______

     Shipping and Handling UNLESS check enclosed     $ 5.00  or  ______

                               Total (credit card)   $25.00  or  ______
          ($20.00 for single copy if paid with check or money order)

Payment by:  Check (U.S. bank or branch) enclosed ( )    MC ( )     VISA ( )

Use Address on check ( )  envelope ( )   or:

Name     ___________________________________________________________________

Address  ___________________________________________________________________

         ___________________________________________________________________

         ___________________________________________________________________

         ___________________________________________________________________

               ..... Following only needed for Credit Card .....

Work Phone  (____) __________________  Home Phone   (____)  ________________

Card #  _____________________________________________  Expires _____________

Name of Cardholder  ________________________________________________________

Signature __________________________________________________________________
                                 (Credit card orders may call: 503-621-3406)


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Fold at the page break below with the printing facing out.  Then fold
letter style, exposing the mailing address and hiding your information.
If necessary, staple check to the mailer, then staple or tape sides and top.

_________________________________                                     Place

_________________________________                                     Stamp

_________________________________                                     Here





                                         Omen Technology INC
                                         Post Office Box 4681
                                         Portland OR  97208-4681  U.S.A.

DSZ 10-19-88
