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Text File  |  1997-02-05  |  3KB  |  55 lines

  1. To receive technical support for Particle Phantasy 1.xx, please fill out the
  2. form below and send it along with your payment. You will be emailed a serial
  3. number and be registered for full support.
  4.  
  5. Prices are in US dollars, all payments must be in US dollars (check or money
  6. order, DO NOT SEND CASH). 
  7.  
  8. ********************************************************************************
  9.                 Particle Phantasy 1.20 - for Win95/WinNT 4.0
  10.                             Registration Form
  11. ********************************************************************************
  12.  
  13. Send completed form along with payment to:     Zytopia Software
  14.                                                PO Box 656
  15.                                                Hawthorne, FL  32640-0656
  16.                                                USA
  17.  
  18. ********************************************************************************
  19.  # of Copies |  Item                                 | Intro Price |   Total   |
  20. ********************************************************************************
  21.              |  Particle Phantasy                    |   $24.95    |           |
  22. ********************************************************************************
  23. ********************************************************************************
  24. Florida residents please add 6% sales tax.          Sales Tax (FL) |           |
  25. ********************************************************************************
  26.                                                             Total  |           |
  27. ********************************************************************************
  28. We reserve the right to add any applicable sales taxes to your
  29. order. We reserve the right to refuse any sale.
  30. ********************************************************************************
  31.  
  32. Customer Information (please print or type):
  33.  
  34.                                         Name: __________________________________
  35.  
  36.                                      Company: __________________________________
  37.  
  38.                               Street Address: __________________________________
  39.  
  40.                                         City: __________________________________
  41.  
  42.                                   State/Prov: __________________________________
  43.  
  44.                              Zip/Postal code: __________________________________
  45.  
  46.                                      Country: __________________________________
  47.  
  48. Valid email address (required on all orders): __________________________________
  49.  
  50. Thank you for registering this program!
  51.  
  52.  
  53.  
  54.  
  55.