
                            ImageDex Registration

               Send to:       Precision Imagery
                              P.O. Box 20676
                              Cranston, RI 02920
                              USA

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______    ImageDex Registration fee............. @ US$15.00 ea. $ _________


          SHIPPING & HANDLING  

          North America: $2;   Outside: $4                      $ _________



                                                       SUBTOTAL $ _________



         Rhode Island residents add Sales Tax......@ 7% (ouch!) $ _________



                        TOTAL (U.S. funds drawn on a U.S. bank) $ _________


Name: _____________________________________________________________________

Company (ONLY if company address): ________________________________________

Address: __________________________________________________________________

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  Phone: _________________________

  Email: _________________________

  Where did you get ImageDex? _____________________________________________


Problems, bugs, compliments, suggestions, flames: _________________________

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