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Text File  |  1995-08-23  |  3KB  |  54 lines
  1.                    REGISTERATION FORM FOR DiskCare v4.0
  2.                    ────────────────────────────────────
  3.  
  4. NAME: ___________________________________________ (Please Print) 
  5.  
  6. ADDRESS: ____________________________________________________________
  7.          ____________________________________________________________
  8.          ____________________________________________________________
  9.          ____________________________________________________________
  10.          ____________________________________________________________
  11.  
  12. DISK SIZE:  [ ] 3.5" HD         [ ] 5.25" HD    [ ] OTHER ___________________ 
  13.                                                           (May not be Maxell)
  14.  
  15.         Please send me _____ copies of DiskCare v4.0 at $7.50 each.
  16.  
  17.         I have enclose $_______ in form of a    [ ] Check
  18.                                                 [ ] Money Order
  19.                                                 (Payable to Zachariah Tripp)
  20.         Please Mail To: Zachariah Tripp
  21.                         U.S.A
  22.                         PO BOX 451
  23.                         Farmington, NH
  24.                                         03835
  25.  
  26.                             (For Companies Only)
  27. ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
  28.  
  29. COMPANY: _________________________________________________
  30.  
  31. NUMBER OF COMPUTERS DiskCare v4.0 WILL BE INSTALLED ON: ____________________
  32.                                                         (For Companies Only)
  33. 0-3   (1 Disk)  - $7.50 per Computer
  34. 4-10  (2 Disks) - $7.00 per Computer
  35. 11-20 (3 Disks) - $6.00 per Computer         
  36. 21-30 (4 Disks) - $5.00 per Computer             Total: ____________________
  37.  
  38. Payment Method: [ ] Check       [ ] Money Order (Payable to Zachariah Tripp)
  39.  
  40. ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
  41. ADDITIONAL INFOMATION:                             (Curiosity killed the Cat)
  42.  
  43. [Computer]      Brand: _____________       [ ] Pentium [ ] 486  
  44.                 Speed: _____________       [ ] 386     [ ] 286
  45.     Version of MS-DOS: _____________
  46.  
  47. Where did yoiu download DiskCare v4.0 from?
  48.  
  49. [ ] Internet    Site: _______________________________________________________
  50. [ ] BBS         Name & Number: ______________________________________________
  51. [ ] WWW         Site/Address: _______________________________________________
  52.    [ ] http:/pubpages.unh.edu/~zet
  53. [ ] Other       _____________________________________________________________
  54.