home *** CD-ROM | disk | FTP | other *** search
/ Boldly Go Collection / version40.iso / TS / 17A / ADDJR20.ZIP / REGISTER.DOC < prev   
Encoding:
Text File  |  1992-04-22  |  1.2 KB  |  23 lines
  1.  ----------------------------------------------------
  2. |                                                    |
  3. |      ADDJR and/or BIRTHDAY Registration Form       |
  4. |                                                    |
  5.  ----------------------------------------------------
  6. |  Name:                                             |
  7. |  Address:                                          |
  8. |  City:                                             |
  9. |  State and Zip:                                    |
  10.  ----------------------------------------------------
  11. |  Payment Due:                                      |
  12. |          ADDJR   :  $15.00                         |
  13. |          BIRTHDAY:  $10.00                         |
  14. |          or BOTH :  $20.00                         |
  15. |                                                    |
  16.  ----------------------------------------------------
  17. |  Send Payment To:                                  |
  18. |          Lesko Software                            |
  19. |          P.O. Box 160474                           |
  20. |          Austin, Texas 78716-0474                  |
  21. |                                                    |
  22.  ----------------------------------------------------
  23.