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/ Software Vault: The Gold Collection / Software Vault - The Gold Collection (American Databankers) (1993).ISO / cdr02 / beepme11.zip / REGISTER.FRM < prev   
Text File  |  1993-04-23  |  1KB  |  30 lines
  1.                             REGISTRATION FORM
  2.                                BeepMe V1.1
  3.                         Written by Bret Lanius
  4.  
  5. Send orders (US FUNDS drawn on US BANK) and make checks payable to:
  6.                         Bret Lanius
  7.                         1493 Walnut Ridge Way
  8.                         Stone Mountain GA 30083
  9.  
  10. NAME             :________________________________            __ 3 1/2" Disks
  11.  
  12. COMPANY         :________________________________
  13.  
  14. ADDRESS          :________________________________            __ 5 1/4" Disks
  15.  
  16. CITY, STATE, ZIP:________________________________
  17.  
  18. HOME PHONE       :(____)__________________    WORK PHONE:(____)______________
  19.  
  20. Were did you download BeepMe?___________________ PHONE :(____)______________
  21.  
  22. __ BEEPME registration - Single user (No disk)    $12.00 each _______________
  23.  
  24. __ BEEPME registration - (Disk)                   $15.00 each  ______________
  25.  
  26.                                                   TOTAL       _______________
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