
			   SMEDLEY'S SOFTWARE HOUSE

				  ORDER FORM
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	INSTRUCTIONS:  Please use this order form to register your copy of
	Smedley's General Purpose Calculator.  You may either print it and
	then fill it out, or edit it first and then print it.  We are also
	genuinely interested in any comments you may have concerning this
	product.  Particularly with regard to features that you would like
	to see modified or changed and, most importantly, any new features
	that you would like to see incorporated in future releases. Please
	take a few additional minutes to provide us with any such comments
	as you may have in this regard.  You may use the back of this form
	or a separate sheet of paper for this purpose.  Thank you!

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	|     |						|	 |        |
	| Qty | Description				| Price  | Total  |
	|-----|-----------------------------------------|--------|--------|
	|     | Smedley's General Purpose Scientific	|	 |	  |
	|     | Calculator -- Version 1.0		| $30.00 |	  |
	|-----|-----------------------------------------|--------|--------|
	| N/A | International AIR MAIL orders add:	|  $5.00 |        |
	|_____|_________________________________________|________|________|
								 |	  |
	DISKETTE SIZE:  [ ] 5 1/4" or [ ] 3 1/2"	   TOTAL |	  |
								 |________|
			Please do not send cash!

	Make your check or money order for the above total payable to:

			Smedley's Software House
			132 N. El Camino Real, # 327
			Encinitas, CA 92024

		  Please allow  (1--3) weeks for delivery.
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	REGISTRATION INFORMATION:  (Leave items blank that do not apply)

	Your Name:
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	Your Title:
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	Company Name:
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	Company Mail Code:
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	Street Address:
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	City:   			    State:      Zip:
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	Country:
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	Phone: (Home)   		    (Work)
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