home *** CD-ROM | disk | FTP | other *** search
/ High Voltage Shareware / high1.zip / high1 / DIR3 / FAKEOUT2.ZIP / REGISTER.FRM < prev   
Text File  |  1993-09-04  |  2KB  |  55 lines
  1.  
  2.  
  3.                         FAKEOUT REGISTRATION FORM
  4.  
  5.          Name : __________________________
  6.   Company Name: __________________________
  7.       Address : __________________________
  8.   City, State : __________________________  Zip Code _____  
  9.  
  10.   Telephone # (___) ___-____  X ____
  11.                                                                TOTAL
  12.  
  13.      Copies of FAKEOUT desired : ___      X  $10      =      $ _________
  14.  
  15.                                         Shipping & Handling  $ 2.00
  16.  
  17.                                               TOTAL          $ _________
  18.   
  19.   What type of computer do you have?____________________________________
  20.  
  21.   What peripherals do you own(modem, scanner, etc.)_____________________
  22.   ______________________________________________________________________
  23.  
  24.   How much memory does your computer have?______________________________
  25.  
  26.   Where did you get FAKEOUT? ___________________________________________
  27.   ______________________________________________________________________
  28.   ______________________________________________________________________
  29.  
  30.   What improvements would you like to see in FAKEOUT?___________________
  31.   ______________________________________________________________________
  32.   ______________________________________________________________________
  33.   ______________________________________________________________________
  34.   ______________________________________________________________________
  35.  
  36.   What other type of programs would you like to see written?____________   
  37. ______________________________________________________________________
  38.   ______________________________________________________________________
  39.   ______________________________________________________________________
  40.   ______________________________________________________________________
  41.  
  42.   Other comments________________________________________________________
  43.   ______________________________________________________________________
  44.   ______________________________________________________________________
  45.   ______________________________________________________________________
  46.  
  47.  
  48.  THANK YOU FOR REGISTERING FAKEOUT AND SUPPORTING THE SHAREWARE CONCEPT
  49.  
  50.                                  SEND TO:
  51.  
  52.                                ROB WILLIAMS
  53.                            18370 S. HENRICI ROAD
  54.                            OREGON CITY, OR 97045
  55.