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/ Software Vault: The Gold Collection / Software Vault - The Gold Collection (American Databankers) (1993).ISO / cdr35 / ipnet10a.zip / REGISTER.TXT < prev   
Text File  |  1993-05-16  |  2KB  |  44 lines
  1.                      IPNET.PPE REGISTRATION APPLICATION
  2.             ______________________________________________________
  3.  
  4.                                          MAIL to: Michele Stewart
  5.       (305) 432-2223 (14.4 HST/DS)                2041 Bayberry Drive
  6.       (305) 433-3495 (14.4 HST/DS)                Pembroke Pines, FL 33024
  7.  
  8.        Date:
  9.  
  10.  ***>  FIRST and LAST NAME _______________________________________________
  11.  
  12.        ADDRESS             _______________________________________________
  13.  
  14.        CITY, STATE, ZIP    _________________________   ____    ___________
  15.  
  16.        VOICE/BBS PHONE #   _________________________/_____________________
  17.  
  18.  ***>  YOUR BBS NAME       _______________________________________________
  19.  
  20.        Password for pre-registration on SunShine _________________________
  21.  
  22. ------------------------------------------------------------------------------
  23.  
  24.        Program Name:______________________  Version:______________________
  25.  
  26.  
  27.               TOTAL Enclosed__________(U.S. FUNDS ONLY !!!!)
  28.  
  29.                             DO NOT SEND CASH!!
  30.             Make Check/Money Order Payable to: MICHELE STEWART
  31.             ^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^
  32.                        CREDIT CARDS accepted ONLINE
  33.                        ^^^^^^^^^^^^^^^^^^^^^^^^^^^^
  34. => Registration numbers will be made available, in a message, on SunShine OR
  35. => enclose a self-addressed stamped envelope to receive them by return mail!
  36.  
  37. ***> NOTE: THESE ITEMS MUST MATCH EXACTLY WITH THE WAY YOU HAVE ENTERED THEM IN
  38.            THE CONFIGURATION FILE. UPPER AND LOWER CASE IS CRITICAL !!!!!
  39.  
  40. (05/16/93)
  41. --------------------------- For Internal Use Only ----------------------------
  42.  
  43.        Date Received __________________       Amt Received ____________
  44.