home *** CD-ROM | disk | FTP | other *** search
/ Media Share 9 / MEDIASHARE_09.ISO / utility / intvl175.zip / REGISTER.ME! < prev    next >
Text File  |  1993-01-18  |  1KB  |  38 lines
  1. SMSnet
  2.                        REGISTRATION FOR INTERVAL 1.75
  3.  
  4. Please send payment to:
  5.                         Samuel Kaplin
  6.                         3520 West 32nd Street #214
  7.                         Minneapolis, Minnesota 55416-4529
  8.  
  9.  
  10.  
  11.  
  12. NAME___________________________________PHONE_________________________________
  13.  
  14. ADDRESS______________________________________________________________________
  15.  
  16. CITY/STATE/ZIP/COUNTRY_______________________________________________________
  17.  
  18. [    ] Copies of INTERVAL              @  $10.00 per copy.
  19. [    ] Site licences for INTERVAL      @  $60.00 per facility.
  20. [    ] Check here for 3 1/2 disk.      @  $ 1.00 per copy
  21.  
  22. Canadian orders please add $2.00 shipping and handling.
  23. Foreign orders please add $10.00 shipping and handling.
  24.  
  25. All payments MUST be in United States dollars.
  26. All checks must be drawn on a United States bank.
  27.  
  28.  
  29. Payment by:   [   ] Check [   ] Money Order       TOTAL ENCLOSED_____________
  30.  
  31.  
  32.  WHERE DID YOU OBTAIN INTERVAL? ______________________________________________
  33.  
  34.  
  35.  
  36.  COMMENTS:
  37.  
  38.