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Text File  |  1992-02-26  |  1KB  |  45 lines

  1. ProPrompt V1.30 Registration Form --------------------------------------------
  2.  
  3.  
  4. Send Registration Fees To:    Scott Brown
  5.                               P.O. Box 832
  6.                               Larchmont, New York 10538
  7.  
  8.  
  9.    Quantity             Description              Each        Total
  10.    --------             -----------              ----        -----
  11.  
  12.    _____                ProPrompt 1.30           $20         ____
  13.  
  14.    _____                Shipping & handling..
  15.                         $2.00 in US, $10 foreign             ____
  16.  
  17.    _____                3.5" disks       $10 per program     ____
  18.  
  19.    _____                NY Residents: Add appropriate
  20.                         sales tax for your town/city.        ____
  21.  
  22.  
  23.                                                  TOTAL:      ____
  24.  
  25. Date: _________________
  26.  
  27. Name: _______________________      Company: _____________________________
  28.  
  29. Street Address: ____________________________________   Apt #: __________
  30.  
  31. City, State: ____________________________ Zip Code: _________________
  32.  
  33. Country: _____________________
  34.  
  35. Days/Hours: ____________________________
  36.  
  37. How did you acquire ProPrompt? __________________
  38.  
  39. Comments?: _________________________________________________________________
  40.  
  41. Please send payment in the form of a check or money order made payable
  42. to Scott Brown in US funds.
  43.  
  44.  
  45.