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Text File  |  1992-12-13  |  2KB  |  55 lines
  1. PPoint REGISTRATION Form
  2.  
  3. TO:   Harvey Parisien
  4.       Box 323 Station A,
  5.       Kingston, Ontario, Canada K7M 6R2
  6.  
  7.       FIDONET 1:249/114 (route via 1:249/1)
  8.  
  9. Please find enclosed my registration fee of...
  10.  
  11.    [ ] $15.00us NON COMMERCIAL USE...   [ ] $85.00us COMMERCIAL USE...
  12.  
  13. ...per installation by [ ] check, [ ] money order in US funds.
  14.  
  15.         Date: _____/_____/_____ (mm/dd/yy)        (Ontario orders add PST)
  16.  
  17. Organization: ____________________________________________ (if applicable)
  18.  
  19.   Users Name: ____________________________________________
  20.  
  21. Mail Address: ____________________________________________
  22.  
  23.  City, State: __________________________________(________)
  24.  
  25.  Voice Phone: ____________________________________________
  26.  
  27. Data Phone -or- Fido Address:   __________________________
  28.  
  29. CURRENT PPOINT VERSION:    _______________________________
  30.  
  31.  
  32.  
  33. COMMENTS: ___________________________________________________________________
  34.  
  35. _____________________________________________________________________________
  36.  
  37. _____________________________________________________________________________
  38.  
  39. _____________________________________________________________________________
  40.  
  41. _____________________________________________________________________________
  42.  
  43. _____________________________________________________________________________
  44.  
  45. _____________________________________________________________________________
  46.  
  47.  
  48.       Yours truly;
  49.  
  50.  
  51.  
  52.  
  53.                   ___________________________________
  54.  
  55.