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Text File  |  1997-03-23  |  2KB  |  52 lines
  1. Software Registration Form
  2. ____________________________________________________________________
  3. Name:
  4. [1]
  5. [2]
  6. [3]
  7. Phone/FAX:   [4]       [5]
  8.  
  9. Email:   [6]
  10.  
  11. Comments:   [7]  
  12.  
  13. Payment Method:
  14. [8]
  15. [9]
  16. [10]
  17. [11]
  18.  
  19. Signature (when sending via standard mail):___________________________________
  20.  
  21. Products Ordered:
  22. ([12]) ScrapIt Pro 5.33 ($20 each)..............:   [13]
  23. ([14]) QuickScrap 1.1 ($15 each).................:   [15]
  24. ([16]) ScrapIt Pro & QuickScrap ($30 each):   [17]
  25. ([18]) QuickPop ($10 each)...........................:   [19]
  26. ([20]) ViewFont ($5 each)..............................:   [21]
  27. ([22]) ColorFall ($10 each)...........................:   [23]
  28. ([24]) Escape! ($10 each)..............................:   [25]
  29. ([26]) SideMinder ($10 each)........................:   [27]
  30.  
  31. Quantity Discount...........:   [28]
  32. Send Latest?...(adds $5):   [29]
  33. Disk Size (800k or HD):   [30]
  34. Sales Tax (CA Only).......:   [31]
  35. Note: Sales Tax is only collected if you've requested a disk and you live in California
  36.  
  37. Total Due.........................:   [32]
  38.  
  39. [33]
  40. ____________________________________________________________________
  41. FAX, send via stail or email this registration form to:
  42.  
  43. John V. Holder                                                           Email addresses (AOL is preferred):
  44. 1734 "S" Street                                                         America Online:  JohnHolder
  45. Eureka, CA  95501                                                     Internet...........:  jvholder@northcoast.com
  46. USA                                                                            CompuServe....:  75040,1126
  47.  
  48. FAX:  (707) 443-3813
  49.  
  50. Home Page:   http://www.northcoast.com/~jvholder
  51. (check for the latest new releases and updates!)
  52.