home *** CD-ROM | disk | FTP | other *** search
/ Media Share 9 / MEDIASHARE_09.ISO / os2 / ked204.zip / REGISTER.DOC < prev   
Text File  |  1993-05-23  |  1KB  |  47 lines
  1.  
  2.  
  3.                      KED Registration Form
  4.  
  5.                      Please complete this form, print it, and
  6.                      enclose your payment in US funds in a check or
  7.                      money order.
  8.  
  9.  
  10.  
  11. Name:       ______________________________________________________
  12.  
  13. Address1:   ______________________________________________________
  14.  
  15. Address2:   ______________________________________________________
  16.  
  17. City:       ______________________________________________________
  18.  
  19. State:      _________________  Zip: ________________________
  20.  
  21.  
  22. Number of Licenses:   _________
  23.                   
  24.                   X       20   dollars
  25.                   ____________
  26.                                total
  27.  
  28.  
  29. Where did you hear about or find KEd? ____________________________
  30.  
  31. __________________________________________________________________
  32.  
  33. __________________________________________________________________
  34.  
  35.  
  36. What do you like or dislike about KEd? ___________________________
  37.  
  38. __________________________________________________________________
  39.  
  40. __________________________________________________________________
  41.  
  42. __________________________________________________________________
  43.  
  44.  
  45. Thank you!
  46.  
  47.