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  2. ╔═════════════════════════════════════════════════════════════╗
  3. ║                                                             ║
  4. ║                                                             ║
  5. ║    RSA/2000 REGISTRATION FORM                               ║
  6. ║    -----------------------------------------------------    ║
  7. ║                                                             ║
  8. ║                 ╔════════════════════════╗                  ║
  9. ║                 ║                        ║                  ║
  10. ║    MAIL TO :    ║     DLM Consulting     ║                  ║
  11. ║                 ║     P O Box 867452     ║                  ║
  12. ║                 ║     Plano TX 75086     ║                  ║
  13. ║                 ║                        ║                  ║
  14. ║                 ╚════════════════════════╝                  ║
  15. ║                                                             ║
  16. ║    DESCRIPTION                                     PRICE    ║
  17. ║    -----------------------------------------------------    ║
  18. ║                                                             ║
  19. ║    Make check or money order payable to : DLM Consulting    ║
  20. ║                                                             ║
  21. ║    RSA/2000 Shareware Registration Fee.          $ 30.00 US ║
  22. ║      Includes program and documentation                     ║
  23. ║      on diskette and printed charts with                    ║
  24. ║      illustrated buy/sell signals.                          ║
  25. ║                                                             ║
  26. ║    Optional technical support is $10.00 per      $ _____ US ║
  27. ║      year.  Includes account on DLM BBS and                 ║
  28. ║      Email support on DLM BBS, Prodigy, GEnie,              ║
  29. ║      and Compuserve.                                        ║
  30. ║                                                             ║
  31. ║    Add $5.00 for processing of              Intl $ _____ US ║
  32. ║      international orders.                                  ║
  33. ║                                                             ║
  34. ║    Texas residents add State Sales Tax:      Tax $ _____ US ║
  35. ║                                                             ║
  36. ║    Total                                   Total $ _____ US ║
  37. ║                                                             ║
  38. ║    Name : ______________________________________________    ║
  39. ║                                                             ║
  40. ║    Address: ____________________________________________    ║
  41. ║                                                             ║
  42. ║    City/State/Zip: _____________________________________    ║
  43. ║                                                             ║
  44. ║    Diskette Type (360K/720K/1.2M) ______________________    ║
  45. ║                                                             ║
  46. ║                                                             ║
  47. ║    The following information may be ommitted if desired.    ║
  48. ║                                                             ║
  49. ║    Phone Number              : _________________________    ║
  50. ║                                                             ║
  51. ║    Prodigy ID                :                              ║
  52. ║    Compuserve Id             :                              ║
  53. ║    GEnie ID                  : _________________________    ║
  54. ║                                                             ║
  55. ║    PC type/speed (386/33 etc):                              ║
  56. ║    Monitor type (VGA etc)    :                              ║
  57. ║    OS version (DOS 5.0 etc)  : _________________________    ║
  58. ║                                                             ║
  59. ╚═════════════════════════════════════════════════════════════╝
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