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Text File  |  1994-10-18  |  2KB  |  59 lines
  1.  
  2.  
  3.  
  4.  
  5.         Registration form for UZfulnix 1.20 from UZful Software
  6.         ----------------------------------------------------------------------
  7.  
  8.         Send to:
  9.                 UZful Software, Inc.
  10.                 PO Box 2089
  11.                 Merrimack, NH 03054-2089
  12.                 USA
  13.  
  14.         Individual Registered Version          Qty ____ @ $5.00   $___________
  15.         +-----------------------------------------------+
  16.         | Please include the output of "uzlicinf" for   |
  17.         | the computer(s) on which you want to run this |
  18.         | product at the bottom of this form.           | Total   $___________
  19.         +-----------------------------------------------+
  20.  
  21.         Payment method: (  ) Check/money order  (  ) PO # ____________________
  22.         Note: All payments must be in U.S. funds, drawn on a U.S. bank.
  23.  
  24.  
  25.         ______________________________________________________________________
  26.         Name      Last                          First
  27.  
  28.         ______________________________________________________________________
  29.         Title                                   Company Name
  30.  
  31.         ______________________________________________________________________
  32.         Street Address                          City
  33.  
  34.         ______________________________________________________________________
  35.         State/Province/Region                   ZIP/Postal code
  36.  
  37.         ______________________________________________________________________
  38.         Country                                 E-mail address
  39.  
  40.         Where did you get your copy of the product? __________________________
  41.  
  42.  
  43.         What brand(s) and model(s) of PC(s) do you use? ______________________
  44.  
  45.         Please give us any feedback (comments, problems, wishes) below.
  46.         Thank you for your support.
  47.  
  48.  
  49.         ______________________________________________________________________
  50.  
  51.  
  52.         ______________________________________________________________________
  53.  
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  55.         ______________________________________________________________________
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  58.         ______________________________________________________________________
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