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/ Software Vault: The Gold Collection / Software Vault - The Gold Collection (American Databankers) (1993).ISO / cdr14 / dukeljs.zip / REGISTER.DOC < prev    next >
Text File  |  1993-04-28  |  2KB  |  57 lines
  1.                               
  2.                   DUKE's NEXT ADVENTURE Shareware Registration
  3.                               
  4.                               Larry Shanker
  5.                           13700 W. Middletown Rd.
  6.                              Salem, OH  44460
  7.                              
  8.  
  9.  
  10.    Quantity                                          Price       Total
  11.    ______________________________________________________________________
  12.  
  13.    ______    DUKE's NEXT ADVENTURE                  $5.00ea   _______.___
  14.  
  15.  
  16.                               Shipping & Handling   $1.00     _______.___
  17.  
  18.  
  19.                                                Order Total    _______.___
  20.  
  21.  
  22.    Disk Size:  5.25" _____  3.5" _____
  23.  
  24.  
  25.    Please send check or money order to the name and address above, drawn 
  26.    on US Bank for full amount.  Canadian Postal Money Order in US Dollars
  27.    or International Bank draft also accepted.
  28.  
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  30.  
  31.    Ship To:     Name  ______________________________________________
  32.  
  33.              Address  ______________________________________________
  34.  
  35.                 City  _______________________ State ____ Zip _______
  36.  
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  38.  
  39.                                  S U R V E Y
  40.  
  41.    Where did you obtain this file? _______________________________________
  42.  
  43.  
  44.    Comments: _____________________________________________________________
  45.  
  46.    _______________________________________________________________________
  47.  
  48.    _______________________________________________________________________
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  50.    _______________________________________________________________________
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  52.    _______________________________________________________________________
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  54.    _______________________________________________________________________
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