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/ Wildcat Gold - The Optical BBS / Wildcat Gold - The Optical BBS (The Golden ROM Series)(Volume 4 Number 1)(The Digital Publishing Company)(1992).ISO / sdn / nicad10.sdn / REGISTER.FRM < prev    next >
Text File  |  1991-09-05  |  2KB  |  59 lines
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  6.                                                 NICAD 1.0 REGISTRATION FORM
  7.      ▀▀▀▀▀▀▀▀▀▀▀▀▀▀▀▀▀▀▀▀▀▀▀▀▀▀▀▀▀▀▀▀▀▀▀▀▀▀▀▀▀▀▀▀▀▀▀▀▀▀▀▀▀▀▀▀▀▀▀▀▀▀▀▀▀▀▀▀▀▀
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  11.      Send to:  KJL Software
  12.                2970 Mira Place
  13.                Burnaby, B.C. V3J-1B6
  14.                Canada
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  17.      NiCad Registered Version           Qty ____ @ $25           $_________
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  19.      NiCad Site License                 Qty ____ @ $________ ea. $_________
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  21.                British Columbia residents add 6% sales tax       $_________
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  23.                Shipping and handling
  24.                          USA/Canada:              $4
  25.                          All other countries:     $10            $_________
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  28.                                                        TOTAL     $_________
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  30.      Note: All payments must be in U.S. funds, drawn on a U.S. bank
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  32.      Payment method: (  ) Check/money order  (  ) PO # ____________________
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  35.      ______________________________________________________________________
  36.      Name      Last                          First          Middle Initial
  37.  
  38.      ______________________________________________________________________
  39.      Title               Company Name
  40.  
  41.      ______________________________________________________________________
  42.      Street Address
  43.  
  44.      ______________________________________________________________________
  45.      City                                    State/Province
  46.  
  47.      ______________________________________________________________________
  48.      ZIP/Postal Code               Country
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  50.      [ ] 5.25", 360K diskette requested (3.5", 720K diskette is standard)
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  52.      Where did you get your copy of NiCad? ________________________________
  53.  
  54.      What brand and model of laptop do you use? ___________________________
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  56.      Please write any comments, suggestions, or bug reports on the back of
  57.      this form or on a separate sheet of paper.
  58.  
  59.                                                        [FORM: NC10-0991-RF]