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Address: P. O. Box 1457, Los Gatos,
CA 95031
TEL:
800-323-3956/408-356-4186
FAX:
408-358-3799
Mobile: 408-858-4528
URL:
www.dsmith.org
Email: doug@dsmith.org
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High Frequency Measurement and
Design
Registration Form
To subscribe to this service, please print this form, fill in the information,
and FAX to 1-408-358-3799. You may alternately email the information (for
payment by check) to doug@dsmith.org.
Then, if paying by check, send this form with a company or personal check
for the fee ($200 for the first year starting January 1, 2002) to D. C.
Smith Consultants, P. O. Box 1457, Los Gatos, CA 95031. Your subscription
will be confirmed upon receipt of payment and your username and password
will sent to you via emai. Subscription by Purchase Order is available
for multiple subscriptions as are discounts. Please click
here for information.
| Name: | |
| Company: | |
| Address: (billing address if using credit card) |
______________________________________________________________
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| email: | |
| Phone: | |
| FAX: | |
| Additional Information: |
______________________________________________________________
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| Credit Card Information: | Card Number, Signature, and date:
_____________________________________________________________ Expiration Date/type (Amex|Visa|MasterCard|Discover): |
| Amount: | Circle to confirm: $200 |
If you wish to terminate your subscription, send email to doug@dsmith.org stating your wishes and the reason(s). The remaining part of the subscription will be refunded and the username and password removed from the database.