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reg_form.txt
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1994-03-21
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3KB
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55 lines
PRODUCT REGISTRATION FORM
Mega Edit (TM) Version 2.10 Name: _________________________________
(REG_FORM.TXT)
Company/Address: _________________________________
_________________________________
_________________________________
Your Telephone Number: _________________________________
(include area/country code)
Disk Media, check one: [ ] 5.25" [ ] 3.5"
Registration Name (Capitalization and Punctuation will be exactly as listed)
-----------------
Your Name (required): _________________________________
Company/Org. Name (optional): _________________________________
Credit Card Orders Please Check: [ ] MasterCard [ ] Visa [ ] JCB
------------------ [ ] American Express [ ] Discover
[ ] Carte Blanche [ ] Diners Club
Credit Card Number: _________________________________
Expiration Date: Month ________ Year ______
Cardholder's Signature: _________________________________
(for Mail or Fax orders)
Price Calculation Single User Registration Fee: $35.50
-----------------
(Please see SITE.TXT for multiple user fees)
Registration Fee: ___________
Kentucky residents add Sales Tax: ___________
$3.50 Unites States
Shipping and Handling: ___________ $5.00 Canada & Mexico
$9.00 Other countries
Total Cost: ___________
Checks or Money orders: Make payable in U.S. currency on a U.S. bank.
Credit card payments may be sent via mail, E-Mail, FAX, or telephone.
Computer Witchcraft, Inc. Internet: megaedit@witchcraft.com
P.O. Box 4189 CompuServe: 76130,1463
Louisville, KY 40204 Fax: (502) 589-7300
U.S.A. Telephone: (502) 589-6800
How did you receive your copy of Mega Edit (TM)? -- Thanks!
[ ] CompuServe [ ] BIX [ ] Genie [ ] AOL [ ] Other BBS __________________
[ ] Catalog ______________________ [ ] Other _______________________________