home *** CD-ROM | disk | FTP | other *** search
/ Stars of Shareware: Windows Spiele / SOS-WIN_SPIELE.ISO / programm / knobel / atom21 / register.frm < prev   
Text File  |  1993-11-03  |  2KB  |  36 lines
  1.  ===========================================================================
  2.                           Atoms 2.1 Registration Form
  3.  
  4.  
  5.                                Mike McNamee
  6.                                 MP Software
  7.                            18511 SE 207th Street
  8.                              Renton, WA  98058
  9.  
  10.  
  11.          Name: ____________________________________________________________
  12.  
  13.       Address: ____________________________________________________________
  14.  
  15.  City,ST ZIP : ____________________________________________________________
  16.  
  17.  Phone Number: ____________________________________________________________
  18.  
  19.  
  20.         Please help determine the distribution of Atoms
  21.         ----------------------------------------------------------
  22.          Check The Box Below That Most Accurately Describes Where
  23.          You Acquired The Programs.
  24.          [ ] - Local BBS _____________________________________________
  25.          [ ] - National BBS __________________________________________
  26.          [ ] - User Group ____________________________________________
  27.          [ ] - Shareware Catalog _____________________________________
  28.          [ ] - Compuserve, Genie, etc. _______________________________
  29.          [ ] - Other - Please Specify ________________________________
  30.  
  31.  Please use the space below to provide me with any suggestions or
  32.  problems you have encountered.  Your support is greatly appreciated!
  33.  If sending a check, please make it out to: Mike McNamee, Thanks.
  34.  ----------------------------------------------------------------------------
  35.  
  36.