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/ Software Vault: The Gold Collection / Software Vault - The Gold Collection (American Databankers) (1993).ISO / cdr31 / vip_62.zip / REGISTER < prev    next >
Text File  |  1993-04-20  |  1KB  |  36 lines
  1.  
  2.                      -------------------------------------
  3.  
  4.  
  5.         Please enclose an addressed, stamped envelope with your order.
  6.  
  7.                               REGISTRATION FORM                VIP-61a
  8.                             Send $10.  US currency
  9.  
  10.  
  11.        Your name _______________________________________________________
  12.  
  13.        Address   _______________________________________________________
  14.  
  15.        City, State, Zip   ______________________________________________
  16.  
  17.        Company name  ___________________________________________________
  18.  
  19.        Phone number  (____) _____________________
  20.  
  21.        Where did you obtain VIP ? ______________________________________
  22.  
  23.        Enter the name below EXACTLY as you want it registered
  24.  
  25.        Name >    _______________________________________________________
  26.                     (case sensitive)    (24 character limit)
  27.  
  28.  
  29.           Mail to:
  30.                     AL RICHARDS
  31.                     5201 ASH
  32.                     SHAWNEE MISSION, KANSAS  USA.
  33.                     66205-2114
  34.  
  35.  
  36.                 Please add any comments below  ( good or bad )  . .. .