home *** CD-ROM | disk | FTP | other *** search
/ Liren Large Software Subsidy 16 / 16.iso / t / t267 / 1.img / SW-46.REG < prev    next >
Encoding:
Text File  |  1993-11-06  |  1.4 KB  |  50 lines
  1.                             SCREEN WIZARD 4.6
  2.                           DISK INFORMATION  1.4
  3.                             REGISTRATION FORM
  4.  
  5.  
  6.  
  7. Company (if applicable):___________________________________________
  8.  
  9.             Your name:  ___________________________________________
  10.  
  11.               Address:  ___________________________________________
  12.  
  13.                         ___________________________________________
  14.  
  15.                         ___________________________________________
  16.  
  17.  
  18.                             Quantity        Amount       Total
  19.                             --------        ------      -------
  20.  
  21. SW 4.6 Full Registration    ________         $15        _______
  22.  
  23. SWE 4.6 Encryption Version  ________         $15        _______
  24.  
  25. SW 4.6 Upgrade from 3.x     ________         $5         _______
  26.  
  27. SW 4.6 Upgrade from 4.x                    No Charge
  28.  
  29.    - postage & handling                     $2.50       _______
  30.  
  31.  
  32.                                Amount enclosed:      __________
  33.  
  34.                     Please indicate disk size:  ( ) 5¼"
  35.                                                 ( ) 3½"
  36.  
  37.  
  38.       Send to:    Warren K. Small
  39.                   35 Benjamin Street
  40.                   Manchester, NH  03109-4319
  41.  
  42.  
  43.  
  44.       COMPUSERVE USER-ID:    71076,407
  45.       GEnie ID:              W.SMALL
  46.       Prodigy ID:            RSJW31A
  47.  
  48.  
  49. Where did you obtain SW? __________________________________________
  50.