home *** CD-ROM | disk | FTP | other *** search
/ High Voltage Shareware / high1.zip / high1 / DIR2 / DESTROYZ.ZIP / REGISTER.TXT < prev   
Text File  |  1993-09-30  |  1KB  |  28 lines

  1.  DJS Software Product Order Form
  2.  
  3.  Name_________________________________
  4.  
  5.  Street Address_____________________________________________
  6.  
  7.                _____________________________________________
  8.  
  9.                _____________________________________________
  10.  
  11.  State_____  Zip________  Country (Blank If USA)____________________
  12.  
  13.  DOS Format : 3.0___  5.0___   Disk Size : 3___  5___
  14.  
  15.  Name Of Product(s)     Cost         Comments :_____________________________
  16.  _____________________  _______      _______________________________________
  17.                                      _______________________________________
  18.  _____________________  _______      _______________________________________
  19.                                      _______________________________________
  20.  _____________________  _______      _______________________________________
  21.                                      Where did you obtain this form?________ 
  22.  _____________________  _______      _______________________________________
  23.                  Total :
  24.                
  25.                 Please Allow 3 to 6 Weeks For Product Delivery
  26.  Most programs cost $5.00, but some may be different.  Be sure to enclose
  27.  the correct amount in cash or check.  Thankyou for ordering!
  28.