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Text File  |  1995-03-12  |  2KB  |  57 lines
  1. -----------------------------------------------------------
  2.                         IconDar
  3. -----------------------------------------------------------
  4.  
  5. REGISTRATION FORM
  6.  
  7. Please print and return this form with your payment by cash,
  8. check or money order for the amount indicated below to:
  9.  
  10.     LIOR MESSINGER      
  11.     P.O. Box 23730
  12.     TEL AVIV 61231       
  13.     ISRAEL
  14.  
  15. You will be registered and receive your own license number, by fax or mail.
  16. You will also be entitled to technical support for two years from the date 
  17. of registering.
  18.  
  19. If you want to receive a registered LATEST version of IconDar on 
  20. diskette, add $4.00 and be sure to write your post address.
  21.  
  22.  
  23.     Amount                      Registration Fee:
  24.     ----------------------------------------------
  25.     [   ] IconDar                    $8.00     
  26.                                     
  27.  
  28.     [   ] 3-1/2"  diskette(s)        $4.00 
  29.  
  30.                                
  31.  
  32.  
  33.     Total Enclosed $_______
  34.  
  35.  
  36.     Name ________________________________________________
  37.  
  38.     Company (if applicable) _____________________________
  39.  
  40.     Address _____________________________________________
  41.  
  42.     City __________________________________ State _______
  43.  
  44.     Zip _________ Phone ______________ Fax ______________
  45.  
  46.     E-Mail Address ______________________________________
  47.  
  48.     PC/CPU/Speed ________________________________________
  49.  
  50.     Display?  [ ]VGA  [ ]SVGA [ ] Other: ________________
  51.  
  52.     Where Obtained? _____________________________________
  53.  
  54.     Suggestions/Comments ________________________________
  55.  
  56.     _____________________________________________________
  57.