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Text File  |  1996-11-19  |  2KB  |  49 lines
  1. Software Registration Form
  2. ____________________________________________________________________
  3. Registration information:
  4. [1]
  5. [2]
  6. [3]
  7. Phone/FAX:   [4]       [5]
  8.  
  9. Email:   [6]
  10.  
  11. Comments:   [7]  
  12.  
  13. Payment Method:   [8][9][10][11]
  14.  
  15. Products Ordered:
  16. ([12]) ScrapIt Pro ($20 each).......................:   [13]
  17. ([14]) QuickScrap ($15 each)........................:   [15]
  18. ([16]) ScrapIt Pro & QuickScrap ($30 each):   [17]
  19. ([18]) QuickPop ($10 each)...........................:   [19]
  20. ([20]) ViewFont ($5 each)..............................:   [21]
  21. ([22]) ColorFall ($10 each)...........................:   [23]
  22. ([24]) Escape! ($10 each)..............................:   [25]
  23. ([26]) SideMinder ($10 each)........................:   [27]
  24.  
  25. Quantity Discount...........:   [28]
  26. Send Latest?...(adds $5):   [29]
  27. Disk Size (800k or HD):   [30]
  28. Sales Tax (CA Only).......:   [31]
  29. Note: Sales Tax is only
  30. collected if you've requested
  31. a disk and you live in
  32. California
  33.  
  34. Total Due.........................:   [32]
  35.  
  36. [33]
  37. ____________________________________________________________________
  38. Print this form and send your check, money order (made payable to ‚ÄúJohn V. Holder‚Äù) or cash to:
  39.  
  40. John V. Holder                                                           Email addresses (AOL is preferred):
  41. 1734 "S" Street                                                         America Online:  JohnHolder
  42. Eureka, CA  95501                                                   Internet...........:  JohnHolder@aol.com
  43. USA                                                                            CompuServe....:  75040,1126
  44.  
  45. FAX:  (707) 443-3813
  46.  
  47. Home Page:   http://www.northcoast.com/~jvholder
  48. (check for the latest new releases and updates!)
  49.