
                     LET YOUR PRINTER DO ALL THE WORK!!!

         -------------------  INSTANT MAILER  ----------------------
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                           ZCOMM Registration form


Send To:            Omen Technology INC             FAX: 503-629-0665
                    POB 4681
                    Portland OR  97208-4681



     ZCOMM Registration, Typeset manual, Disk           $40.00    ______

     3.5 inch disk instead of 5.25 inch                 $ 5.00    ______

     3-ring custom binder for manual                    $10.00    ______

     UPS BLUE (domestic second day air)                 $ 5.00    ______

     International Air Mail (Add $5.00 for binder)      $10.00    ______


                                             + $5.00 Shipping and Handling
                                               for credit card

                                        (U.S. funds)    Total     ______

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

            Purchase orders for less than $150 must be prepaid.
            Federal TAX ID #: 930858776 Oregon TAX ID #: 536565

Use Address on envelope ( )    check ( )   OR:

Name     ___________________________________________________________________

Address  ___________________________________________________________________

          __________________________________________________________________

          __________________________________________________________________

          __________________________________________________________________


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

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

Card #  _____________________________________________  Expires _____________

Cardholder name  ___________________________________________________________

Signature __________________________________________________________________

         -------------------  INSTANT MAILER  ----------------------

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.

ZCOMM Jun-7-95
