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Text File  |  1993-08-16  |  2KB  |  61 lines
  1.                            TinyHost Registration Form
  2.                           ~~~~~~~~~~~~~~~~~~~~~~~~~~~~
  3.        
  4.        Date: ___________                Mail To:  Bruce A. Krobusek
  5.                                                   5950 King Hill Drive
  6.        TH-P1                                      Farmington, NY  14425
  7.        
  8.        FROM:  (Please print)
  9.        
  10.                   Name : ________________________________________
  11.  
  12.                Company : ________________________________________
  13.  
  14.                Address : ________________________________________
  15.        
  16.                          ________________________________________
  17.        
  18.                          ________________________________________
  19.        
  20.                  Phone : ________________________________________
  21.               (optional) 
  22.        
  23.  
  24.        Disk format desired : ___ 5.25" (360K)    ___ 3.50" (720K)
  25.        
  26.  
  27.        _____  Copies of TinyHost at $25 (U.S.) each          __________
  28.  
  29.        _____  Copies of TinyHost Plus at $35 (U.S.) each     __________
  30.  
  31.                 New York state residents add
  32.                  appropriate local sales tax                 __________
  33.  
  34.                 Overseas users please add $5 (U.S.) for
  35.                  shipping and handling                       __________
  36.        
  37.                                                     TOTAL    __________
  38.  
  39.        
  40.        Please DO NOT send cash. Send a check or money order (U.S funds 
  41.        only) payable to Bruce A. Krobusek.
  42.        
  43.        
  44.        Your current version of TinyHost / Plus?  ______________________
  45.        
  46.        Where did you find TinyHost / Plus?  ___________________________
  47.  
  48.        ________________________________________________________________
  49.        
  50.        Comments about TinyHost / Plus:  _______________________________
  51.  
  52.        ________________________________________________________________
  53.        
  54.        ________________________________________________________________
  55.        
  56.        ________________________________________________________________
  57.        
  58.        ________________________________________________________________
  59.  
  60.        ________________________________________________________________
  61.