home *** CD-ROM | disk | FTP | other *** search
/ Software Vault: The Gold Collection / Software Vault - The Gold Collection (American Databankers) (1993).ISO / cdr05 / caslnr38.zip / REGISTER.FRM < prev   
Text File  |  1993-06-06  |  2KB  |  41 lines
  1.                          CaseLinr Registration Form
  2.                            Version 3.8 - 6/6/1993
  3.  
  4. [ ] Registration ($12)                                           ______
  5. [ ] Latest version ($3 USA and Canada, $5 foreign)               ______
  6.       Check one: [ ] 5 1/4" easily creased floppy
  7.                  [ ] 3 1/2" fits-in-my-shirt-pocket floppy
  8. [ ] Other (tokens of esteem, unclaimed inheritances, ...)        ______
  9.                                                       Total:     ______
  10.  
  11. Name:     _________________________________________________________________
  12.  
  13. Address:  _________________________________________________________________
  14.  
  15.           _________________________________________________________________
  16.  
  17.           _________________________________________________________________
  18.  
  19. Comments: _________________________________________________________________
  20.  
  21. ___________________________________________________________________________
  22.  
  23. ___________________________________________________________________________
  24.  
  25. ___________________________________________________________________________
  26.  
  27. ___________________________________________________________________________
  28.  
  29.  
  30. All funds should be in US dollars -- cash, check (drawn on US banks only),
  31. money order, or postal money order.  I don't wish to slight foreign currency,
  32. but the local banks (in a small town) charge a very unattractive fee for
  33. such services.  No credit cards -- I haven't made it to the big time yet...
  34.  
  35. Please make all checks payable to Ed Adasiewicz, and forward your payment
  36. along with this form to:
  37.  
  38.                         Ed Adasiewicz
  39.                         260 Richmond Lane
  40.                         Crystal Lake, IL  60014
  41.