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Text File  |  1993-12-17  |  1KB  |  42 lines
  1. REGISTRATION FORM  Screen Saver Version 4.3                           12
  2. ========================================================================
  3.  
  4.  
  5.     Registration fee:  $20.00
  6.  
  7.  
  8.             Date: ____/____/____
  9.  
  10.             Name: ________________________________________
  11.  
  12.     Company Name: ________________________________________
  13.      (optional)
  14.  
  15.          Address: ________________________________________
  16.  
  17.             City: ____________________  State: ____  Zip: __________
  18.  
  19.    Daytime phone: (______) _________________  Ext: _______
  20.  
  21.    Evening phone: (______) _________________  Ext: _______
  22.  
  23.  
  24. Make of Computer: _____________________ Model: ____________
  25.  
  26.    Installed RAM: _________         Disk type: [ ] 5.25"   [ ] 3.5"
  27.  
  28.  
  29.  
  30.     TERMS:  No credit cards, CODs.
  31.             Make checks payable to: Tom R. Donnelly
  32.             Checks drawn on a U.S. bank in U.S. funds.
  33.             International bank or postal money orders in U.S. funds.
  34.  
  35.  
  36.    Attach check and mail to:
  37.  
  38.    Tom R. Donnelly
  39.    P.O. Box 3856
  40.    San Dimas, CA  91773
  41.  
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