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Text File  |  1996-02-17  |  1.6 KB  |  52 lines
  1.                       HOME LOAN DIARY REGISTRATION FORM:
  2.  
  3.  
  4.       Home Loan Diary is being distributed under the shareware concept.
  5.       What this means is that  you are required to  support the author
  6.       if you  find this  program  useful.  Upon  registration you will
  7.       receive a personalized copy of the latest version.  Registration
  8.       for individuals is $20.00 within the U.S.A.  Contact  the author
  9.       for site license  details if  Home Loan Diary  will be used in a
  10.       business on more than one PC.
  11.  
  12.                         Indicate disk format desired:
  13.  
  14.                               5.25" 360K   _____
  15.  
  16.                               3.5"  720K   _____
  17.  
  18.                               5.25" 1.2Mb  _____
  19.  
  20.                               3.5"  1.4Mb  _____
  21.  
  22.   Name _____________________________________________________________________
  23.  
  24.   Mailing address __________________________________________________________
  25.  
  26.   City ____________________________  State __________  Zip Code ____________
  27.  
  28.  
  29.  
  30.                         Make U.S. funds payable to:
  31.  
  32.                              Philip P. Kapusta
  33.                              406 Monroe Avenue
  34.                          Falmouth, Va. 22405 U.S.A.
  35.  
  36.  
  37.  
  38.  
  39.       HOME LOAN DIARY registration:           $20.00    $______
  40.  
  41.       Virginia residents, add 4.5% sales tax            $______
  42.  
  43.       Canadian addresses, add $1.00 shipping  $ 1.00    $______
  44.  
  45.       Overseas/foreign addresses, add $2.00   $ 2.00    $______
  46.  
  47.       Total enclosed:                                   $______
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