home *** CD-ROM | disk | FTP | other *** search
/ DP Tool Club 15 / CD_ASCQ_15_070894.iso / vrac / clintcc.zip / ORDER.FRM < prev   
Text File  |  1994-06-14  |  1KB  |  50 lines
  1.  
  2.                         The Clinton Countdown Clock
  3.                            (C) 1994 Jeremy Lilley
  4.                              All Rights Reserved
  5.  
  6.  
  7.                         The "Official" Order Form
  8.  
  9.  
  10.         To register your copy of The Clinton Countdown Clock,
  11. please send $10 (check/cash, etc.) to the following address:
  12.  
  13. Jeremy Lilley
  14. 2711 Oak View Circle
  15. Medford, Oregon 97504
  16. Compuserve: 75060,2074
  17. Intenet: 75060.2074@compuserve.com
  18.  
  19.  
  20.         Name: _____________________________________________
  21.  
  22.         Address: __________________________________________
  23.  
  24.         City/State/Zip:____________________________________
  25.  
  26.  
  27.         How Long Have You Disliked Bill/Hillary ? _________
  28.  
  29.         Do you listen to or watch Rush Limbaugh ? _________
  30.  
  31.         Any Suggestions (for the program, not for Clinton): 
  32.  
  33.         ____________________________________________________
  34.  
  35.         ____________________________________________________
  36.  
  37.         Computer Type: _____________________________________
  38.  
  39.         Do you have any spiffy campaign phrases to add to the
  40.         list (like "No more taxes, no more tricks, no more
  41.         Clinton in '96"):____________________________________
  42.  
  43.         _____________________________________________________
  44.  
  45.         _____________________________________________________
  46.  
  47.  
  48.         Thank you!!! May Clintonian Socialism never reign!!!
  49.  
  50.