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Text File  |  1995-04-15  |  2.3 KB  |  60 lines
  1.  
  2.  
  3.         Registration form for UZPronto 1.10 from UZful Software
  4.         ----------------------------------------------------------------------
  5.         Send to:
  6.                 UZful Software, Inc.
  7.                 PO Box 2089
  8.                 Merrimack, NH 03054-2089, USA
  9.  
  10.         Individual Registered Version          Qty ____ @ $15.00   $___________
  11.  
  12.  
  13.         1 floppy disk with latest version (OPTIONAL)    +  $5.00  $___________
  14.         (  ) 5.25" or (  ) 3.5"
  15.  
  16.         Note: All payments must be in U.S. funds,         Total   $___________
  17.         drawn on a U.S. bank.
  18.  
  19.         Payment method: (  ) Check/money order  (  ) PO # ____________________
  20.  
  21.  
  22.         ______________________________________________________________________
  23.         Name      Last                          First
  24.  
  25.         ______________________________________________________________________
  26.         Title                                   Company Name
  27.  
  28.         ______________________________________________________________________
  29.         Street Address                          City
  30.  
  31.         ______________________________________________________________________
  32.         State/Province/Region                   ZIP/Postal code
  33.  
  34.         ______________________________________________________________________
  35.         Country                   E-mail address (Internet, GEnie, CompuServe)
  36.  
  37.         Where did you get your copy of the program? __________________________
  38.  
  39.  
  40.         What brand(s) and model(s) of computer do you use? ___________________
  41.  
  42.         +----------------------------------------------------------------------+
  43.         | Please include the output of "uzlicinf" for the computer(s) on which |
  44.         | you want to run this product. We cannot take your order without it.  |
  45.         +----------------------------------------------------------------------+
  46.  
  47.         UZLICINF OUTPUT (8 capital letters): _____________
  48.  
  49.         Please give us any feedback (comments, problems, wishes) below.
  50.         Thank you for your support.
  51.  
  52.  
  53.         ______________________________________________________________________
  54.  
  55.  
  56.         ______________________________________________________________________
  57.  
  58.  
  59.         ______________________________________________________________________
  60.