home *** CD-ROM | disk | FTP | other *** search
/ OS/2 Professional / OS2PRO194.ISO / os2 / diskutil / backup2 / register.doc < prev    next >
Encoding:
Text File  |  1991-07-06  |  3.5 KB  |  57 lines
  1.  ______________________________________________________________
  2. |                                                              |
  3. |                  SOFTWARE REGISTRATION FORM                  |
  4. |______________________________________________________________|
  5. |                                                              |
  6. |                                                              |
  7. | NAME             __________________________________________  |
  8. |                                                              |
  9. | ADDRESS          __________________________________________  |
  10. |                                                              |
  11. |                  __________________________________________  |
  12. |                                                              |
  13. |                  __________________________________________  |
  14. |                                                              |
  15. |                                                              |
  16. | PHONE            __________________________________________  |
  17. |                                                              |
  18. |                                                              |
  19. | OFFICE SYMBOL    __________________________________________  |
  20. | or ROUTER                                                    |
  21. |                                                              |
  22. | POINT OF CONTACT __________________________________________  |
  23. | (organizations)                                              |
  24. |                                                              |
  25. | SIGNATURE & DATE __________________________________________  |
  26. |                                                              |
  27. |                                                              |
  28. | WHERE DID YOU                                                |
  29. | OBTAIN THIS      __________________________________________  |
  30. | SOFTWARE?                                                    |
  31. |                                                              |
  32. | COMMENTS OR      __________________________________________  |
  33. | SUGGESTIONS                                                  |
  34. | (continue on                                                 |
  35. |  reverse if      __________________________________________  |
  36. |  desired)                                                    |
  37. |______________________________________________________________|
  38. |                                                              |
  39. | PRODUCT                             | QTY | EACH  |  TOTAL   |
  40. |______________________________________________________________|
  41. |                                                              |
  42. | Backup/2, version 1.01              |     | 10.00 |          |
  43. |______________________________________________________________|
  44. |                                                              |
  45. | Tax (Virginia residents add 4-1/2%)               |          |
  46. |______________________________________________________________|
  47. |                                                              |
  48. | TOTAL                                             |          |
  49. |______________________________________________________________|
  50. |                                                              |
  51. | Mail check or           Richard W. Adams                     |
  52. | money order in          104 Willow Oaks Boulevard            |
  53. | U.S. dollars to:        Hampton, VA  23669-1528              |
  54. |                         U.S.A.                               |
  55.  ______________________________________________________________
  56.  
  57.