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Text File  |  1992-03-03  |  4KB  |  124 lines
  1.  
  2.              InComm:PcPDial release 1.0.1 License/Registration Form
  3.              ======================================================
  4.                  Remit to: Futuresoft Technologies, PO Box 822,
  5.                           Hartselle, Alabama 35640 USA
  6.      ======================================================================
  7.           Qty       Item                     Per item price      Price
  8.           -----------------------------------------------------------------
  9.  
  10.           [  ]      InComm:PcPDial..............  $10.00 ea :    $_________
  11.  
  12.           (  )      ICEX user special 50% offer, limit
  13.                     one per registered user.....  $ 5.00 :       $_________
  14.  
  15.                     ICEX registration number: __________________
  16.  
  17.           [  ]      Printed/Bound manual........  $ 8.00 ea :    $_________
  18.  
  19.           [  ]      Latest release disk(s)......  $ 2.00 ea :    $_________
  20.                                    --  OR  --
  21.           [  ]      Latest release disk(s) with 80286 
  22.                     version executables included. $ 3.00 ea :    $_________
  23.  
  24.                     Diskette media :   [  ] 3.5"   [  ] 5.25"
  25.  
  26.                Alabama resident state sales tax @ 4.00%........: $_________
  27.  
  28.      **********************************************************************
  29.  
  30.           Total......(payable to FutureSoft Technologies)......: $_________
  31.                (Checks must be drawn on a US bank, in US funds)
  32.  
  33.      **********************************************************************
  34.  
  35.           Name    : ______________________________________________
  36.  
  37.           Company : ______________________________________________
  38.  
  39.           Address : ______________________________________________
  40.  
  41.                     ______________________________________________
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  43.                     ______________________________________________
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  60.      Copyright 1992, FutureSoft Technologies
  61.  
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  63.  
  64.      Check below the method by which you obtained Incomm:PcPDial:
  65.  
  66.                [ ] - Shareware Catalog/Vendor
  67.  
  68.                [ ] - User Group
  69.  
  70.                [ ] - Compuserve
  71.  
  72.                [ ] - Other online service
  73.  
  74.                      Which one? _________________________________
  75.  
  76.                [ ] - Electronic Bulletin Board System 
  77.  
  78.                      BBS Name/Number: ___________________________________
  79.  
  80.                [ ] - Other - Please Specify: ____________________________
  81.  
  82.                                              ____________________________ 
  83.  
  84.      **********************************************************************
  85.  
  86.      Your comments are appreciated:
  87.  
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  122.      Copyright 1992, FutureSoft Technologies
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