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Text File  |  1998-01-05  |  1.4 KB  |  44 lines
  1.  
  2.  
  3.                     REGISTRATION FOR CINEVIDEO/DIRECT(R)
  4.  
  5.  
  6.     Registration for CineVideo/Direct(R) is ($49.95).  You will receive
  7.     information about upgrades and other product announcements when
  8.     you register CineVideo/Direct(.  
  9.  
  10. Please fill out all of the  form (Print or Type) and return it with your check or money order by mail or FAX to (703) 680-1697:
  11.  
  12.                            CINECOM CORPORATION
  13.                             2239-K Tacketts Mill Drive
  14.                             Lake Ridge,  VA 22192
  15.  
  16.     CineVideo/Direct Version Serial Nr:________________
  17.  
  18.     Full Name:____________________________________________________
  19.  
  20.     Company:______________________________________________________
  21.  
  22.     Address:______________________________________________________
  23.  
  24.     City:________________________ State:______ Zip:_______________
  25.  
  26.     Country:______________________________________________________
  27.  
  28.     Home Phone:___________________ Business Phone:________________
  29.  
  30.     FAX #:_______________________ BBS #:__________________________
  31.  
  32.     Email Address:________________________________________________
  33.                                                 
  34.  
  35.  
  36.  
  37.     If you would like to pay by VISA/MC, please fill out form below:
  38.  
  39.  
  40.     Card #______________________________  Expire Date:____________
  41.  
  42.  
  43.     Name of Card:_________________________________________________
  44.