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Text File  |  1993-06-28  |  3KB  |  80 lines
  1.  
  2.  
  3.  -------------------  EZ-Reader Registration Form  ----------------------
  4.          Please support quality shareware with your registration.
  5.                         We thank you for your support.
  6.  
  7. Name     ___________________________________________________________________
  8.                        (Name you use when you log onto a BBS)
  9.  
  10. Address  ___________________________________________________________________
  11.  
  12.          ___________________________________________________________________
  13.  
  14. Are you a Sysop ________  If NO fill in the name & number of the BBS you use
  15.                           for Qmail/MarkMail/TomCat!
  16.  
  17.  
  18.      [  ] Check or Money Order payable to Thumper Technologies
  19.  
  20.      [  ] American Express      Card Number: ________________________________
  21.  
  22.      [  ] Discover               Expiration: ________________________________
  23.  
  24.      [  ] MasterCard
  25.  
  26.      [  ] Visa
  27.  
  28.  
  29. Name     ___________________________________________________________________
  30.                          (Name on the credit card)
  31.  
  32.  
  33. Signature __________________________________________________________________
  34.                       (Needed for credit card orders)
  35.  
  36.  
  37. All credit card orders will be processed through Thumper Technologies and 
  38. will appear on  your statement as such. Your registration entitles you to a 
  39. special key file that will unlock the EZ-Reader 2 features of any EZ-Reader 
  40. 2 file you download from your local BBS.
  41.  
  42.  
  43.    ____ EZ-Reader Registration(s) on 5.25 Diskette      $25.00      ______
  44.  
  45.    ____ EZ-Reader Registration(s) on 3.50 Diskette      $25.00      ______
  46.  
  47.    ____ Oklahoma residents sales tax (EZ only)           $1.75      ______
  48.  
  49.  
  50.                                                              Total  ______
  51.  
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  56.  
  57.  
  58.     -------------------  INSTANT MAILER  ----------------------
  59.  
  60. Fold at the page break below with  the printing facing out. Then fold letter
  61. style,  exposing  the  mailing  address  and  hiding  your  information.  If
  62. necessary, staple check to the mailer, then staple or tape sides and top.
  63.  
  64.  
  65. _________________________________                                     Place
  66.  
  67. _________________________________                                     Stamp
  68.  
  69. _________________________________                                     Here
  70.  
  71.  
  72.  
  73.  
  74.                                          Thumper Technologies
  75.                                          New Order
  76.                                          Post Office Box 471346
  77.                                          Tulsa, Oklahoma
  78.                                          74147-1346
  79.                                          USA
  80. EZ-Reader 2.00