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Text File  |  1994-08-03  |  2KB  |  50 lines
  1.  
  2.                         VIRTUAL DESKTOP ORDER FORM
  3.             ===========================
  4.  
  5.                                                 Date: _________________
  6.  
  7.     Name    ___________________________________________________________
  8.  
  9.     Address ___________________________________________________________
  10.  
  11.     City    __________________________ State _________ ZIP ____________
  12.  
  13.     Country (if outside US) ___________________________________________
  14.  
  15.     Email Address (optional) __________________________________________
  16.  
  17.     Version of Program You Are Registering            _________________
  18.  
  19.     Place Where You Found Program (optional) __________________________
  20.  
  21.      
  22.   Virtual Desktop First-Time Registration ($10)                     ______
  23.  
  24.   Additional Site Licence (@ $5 each)                    ______
  25.  
  26.   Upgrade from previous versions ($5) : Registration # ___________________
  27.  
  28.   Total Enclosed                                                    ______
  29.   (Payment must be in U.S. funds -- only CASH accepted)
  30.  
  31.   Remark: Registered users will be given a registration number to  disable
  32.           the "Please register this software" message.
  33.  
  34.   Comments: ______________________________________________________________
  35.             ______________________________________________________________
  36.             ______________________________________________________________
  37.             ______________________________________________________________
  38.             ______________________________________________________________
  39.  
  40.  Mail to:  Lee, Cjin Pheow
  41.            203 Alhambra Place, Apt #4
  42.            Madison, WI 53713
  43.            USA
  44.  
  45.  Address after June 1st 1995 is subjected to change.
  46.  
  47.  Email:    cplee@students.wisc.edu
  48.  
  49.                      *** Thank you for your order! ***
  50.