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Text File  |  1994-08-27  |  3KB  |  60 lines

  1.                          BookBank II Registration Form
  2.     
  3.     Remit to: Michael Carnell
  4.               Data by Design
  5.               P.O. Box 31994
  6.               Charleston, SC 29417-1994
  7.     
  8.     ----------------------------------------------------------------------
  9.     Registration form number: 3-94   After 12/31/1994, please contact us
  10.                                      for current product information.
  11.     ----------------------------------------------------------------------
  12.     
  13.     Qty       Item                                        Each      Total
  14.     
  15.     ____   BookBank II Registration                        $35     ______
  16.            This registers you to use BookBank II on one         
  17.            computer at the single site listed below.           
  18.            This includes registration, support, 
  19.            professionally printed user's manual, 
  20.            contact maintenance utility, and 
  21.            one free software upgrade.
  22.  
  23.     Note:  Please specify disk size: _______  (3.5" or 5.25")
  24.     
  25.            Shipping (Free to US, Canada, and Mexico; $5 elsewhere) ______
  26.     
  27.                                                              TOTAL ______
  28.                             **** US Funds Only! ****
  29.                    Payable by check, money order, or cash.
  30.                    Please allow 4 to 6 weeks for delivery.
  31.     ----------------------------------------------------------------------
  32.     
  33.     Name:_________________________________________________________________
  34.     
  35.     Company:______________________________________________________________
  36.  
  37.     Address:______________________________________________________________
  38.     
  39.     City, State, Zip:_____________________________________________________
  40.     
  41.     Day Phone:___________  Evening Phone:___________  Fax Phone:__________
  42.     
  43.     EMail Address:________________________________________________________
  44.  
  45.     ===================== Optional Information ===========================
  46.  
  47.     Are you a collector, dealer, library, or...? _________________________
  48.     
  49.     What type of books interest you? _____________________________________
  50.  
  51.     What type of computer system do you use? _____________________________
  52.     
  53.     Where did you hear of or obtain BookBank II? _________________________
  54.     
  55.     Do you use a modem with your computer? _______________________________
  56.  
  57.     Comments or suggestions: _____________________________________________
  58.     
  59.     ______________________________________________________________________
  60.