home *** CD-ROM | disk | FTP | other *** search
/ Resource for Source: Assembly / assembly resource for source.iso / assem02 / wasm202.arc / REGFORM.DOC < prev    next >
Encoding:
Text File  |  1987-03-08  |  1.4 KB  |  43 lines
  1.  
  2.                 Wolfware Assembler Registration and Order Form
  3.  
  4.        ******************************************************************
  5.  
  6.        Send registration and payment to:
  7.  
  8.          Eric Tauck
  9.          Wolfware Programs
  10.          1304 Deerpass Road
  11.          Marengo, IL  60152
  12.  
  13.        Make checks payable to Eric Tauck.
  14.  
  15.        Item                                      Price    Qty    Extended
  16.        ======================================    =====    ===    ========
  17.  
  18.        WASM registration for one year           $10.00    ___    $_______
  19.  
  20.        Newest version of WASM program and
  21.        documentation on disk (must register
  22.        above or be registered)                   $5.00    ___    $_______
  23.  
  24.  
  25.                                                          Total   $_______
  26.  
  27.        Name _____________________________________________________________
  28.  
  29.        Company __________________________________________________________
  30.  
  31.        City _____________________________________________________________
  32.  
  33.        State _________________________________ Zip ______________________
  34.  
  35.        Phone ____________________________________________________________
  36.  
  37.  
  38.        ******************************************************************
  39.  
  40.        Thank-you for your support. If you have any comments or questions 
  41.        you can put them here or on the reverse side of this sheet.
  42. 
  43.