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Text File  |  1993-03-05  |  3KB  |  59 lines
  1.                                                   _______
  2.                                              ____|__     |               (R)
  3.                 Just-In-Time              --|       |    |-------------------
  4.     +-------+   Computing                   |   ____|__  |  Association of
  5.    /   J   /    Services                    |  |       |_|  Shareware
  6.   /   C   /     --------------------        |__|   o   |    Professionals
  7.  /   S   /      P.O. Box 4166             -----|   |   |---------------------
  8. +-------+       Ithaca, NY   14852             |___|___|    MEMBER
  9.  
  10.                  Registration Form for NEMENU Version 1.0
  11.  
  12. Please complete the following information and return this form with your
  13. check or money order for $25.00 (US FUNDS PLEASE, and please don't send
  14. cash) to the address above to register your copy of DAMENU.
  15. ┌────────────────────┐
  16. │Please Print Clearly│                              
  17. └────────────────────┘                              Date: _________________
  18.  
  19.    Name: __________________________________________________________________
  20.  
  21. Company: __________________________________________________________________
  22.  
  23. Address: __________________________________________________________________
  24.  
  25.          __________________________________________________________________
  26.  
  27.    City: _____________________________ State: ____ Zip:__________ - _______
  28.  
  29.   Phone: ____________________________ (optional)  ┌─────────────────────────┐
  30.                                                   │                         │
  31.   CIS #: ____________________________ (optional)  │ Disk Size:  [ ]  3.5"   │
  32.                                                   │                         │
  33.   GENIE: ____________________________ (optional)  │             [ ]  5.25"  │
  34.                                                   │                         │
  35.  ┌────────────────────────────────────────────────┴─────────────────────────┤
  36.  │                                                                          │
  37.  │ I would like to register ___ copy(s) of NEMENU at $25 per copy = $_____  │
  38.  │                                                                          │
  39.  │                           NY residents please add 8% sales tax:  $_____  │
  40.  │                                                                          │
  41.  │         Shipping ($3.00 US; $5.00 Canada; $8.00 International):  $_____  │
  42.  │                                                                          │
  43.  │                  Enclosed please find a check or money order for $_____  │
  44.  │                                                                          │
  45.  └──────────────────────────────────────────────────────────────────────────┘
  46.  
  47. Registration will entitle me the current version of NEMENU (without any
  48. registration screens, or introductory messages) on disk, informed of upgrades &
  49. prices, maintenance releases and a support serial number.  Please take a
  50. minute to tell us about any comments or suggestions you have about NEMENU! 
  51.  
  52. Where did you get your copy of NEMENU? ____________________________________
  53.  
  54. Comments/Suggestions about NEMENU: ________________________________________
  55.  
  56. ___________________________________________________________________________
  57.  
  58. ___________________________________________________________________________
  59.