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Text File  |  1993-08-01  |  3KB  |  45 lines
  1.                            TRANSCAN REGISTRATION FORM
  2.  
  3.  
  4.  
  5.  
  6.          If you like what TRANSCAN can do and have not registered then print
  7.          this registration form out and send it along with a check to:
  8.  
  9.          Shareware Services                                 ┌────────────┐
  10.          PO Box 282                                         │ Cost: $30  │
  11.          Topeka, Ks. 66601-0282                             │ +$3 S & H  │
  12.          1-800-578-3061 (MC, Visa, or COD Orders Only)      └────────────┘
  13.          ┌───────────────────────────────────────────────────────────────┐
  14.          │ Name:                                                         │
  15.          │───────────────────────────────────────────────────────────────│
  16.          │ Address:                                                      │
  17.          │───────────────────────────────────────────────────────────────│
  18.          │ City:                              State:    Zip:             │
  19.          │───────────────────────────────────────────────────────────────│
  20.          │ HOME Phone No:                                                │
  21.          └───────────────────────────────────────────────────────────────┘
  22.          ┌───────────────────────────────────────────────────────────────┐
  23.          │ Comments:                                                     │
  24.          │                                                               │
  25.          │                                                               │
  26.          │                                                               │
  27.          │                                                               │
  28.          │                                                               │
  29.          │                                                               │
  30.          │                                                               │
  31.          └───────────────────────────────────────────────────────────────┘
  32.          ┌───────────────────────────────────────────────────────────────┐
  33.          │ Distributed by: Shareware Services                            │
  34.          └───────────────────────────────────────────────────────────────┘
  35.          ┌───────────────────────────────────────────────────────────────┐
  36.          │ MasterCard or Visa Payments welcome:                          │
  37.          │                                                               │
  38.          │ Account #:                            Expiration Date:        │
  39.          │───────────────────────────────────────────────────────────────│
  40.          │ Signature                                                     │
  41.          └───────────────────────────────────────────────────────────────┘
  42.  
  43.          Your registration procedure will be mailed to you upon receipt.
  44.          
  45.