home *** CD-ROM | disk | FTP | other *** search
/ Doom I/II Collection / DM12.ISO / utils / dm200 / order.me < prev    next >
Text File  |  1994-03-31  |  2KB  |  81 lines

  1. ------------------------------------------------------------------------------
  2. S I M P L Y   S I L L Y   S O F T W A R E   R E G I S T R A T I O N    F O R M
  3. ------------------------------------------------------------------------------
  4.  
  5.   Registration for all Simply Silly Software packages is $5.00 (unless
  6.   specifically specified).  To register, simply fill out this form, and
  7.   mail to:
  8.  
  9.                           SIMPLY SILLY SOFTWARE
  10.                           PO BOX 360
  11.                           LAKE KATRINE, NY  12449
  12.  
  13.     [---------------------------] CUT HERE [-----------------------------]
  14.  
  15.  
  16.  
  17.   Your Name         :  _________________________________________________
  18.  
  19.  
  20.  
  21.   Your Address      :  _________________________________________________
  22.  
  23.                        _________________________________________________
  24.  
  25.                        _________________________________________________
  26.  
  27.                        _________________________________________________
  28.  
  29.  
  30.  
  31.   Your Phone Phone # : _________________________________________________
  32.  
  33.  
  34.   Where did you get
  35.    this program from : _________________________________________________
  36.  
  37.                        _________________________________________________
  38.  
  39.  
  40.  
  41.        --------------------------------------------------------------
  42.        Qty.          Desciption                 Price Per       Total
  43.        --------------------------------------------------------------
  44.  
  45.  
  46.        __            _________________________  _________     ________
  47.  
  48.                      _________________________
  49.  
  50.                      _________________________
  51.  
  52.                      _________________________
  53.  
  54.  
  55.        __            _________________________  _________     ________
  56.  
  57.                      _________________________
  58.  
  59.                      _________________________
  60.  
  61.                      _________________________
  62.  
  63.  
  64.        __            _________________________  _________     ________
  65.  
  66.                      _________________________
  67.  
  68.                      _________________________
  69.  
  70.                      _________________________
  71.  
  72.  
  73.                                             Total enclosed :  ________
  74.  
  75.  
  76.  
  77.   Comments : ______________________________________________________________
  78.  
  79.              _______________________________________________________________
  80.  
  81.     [---------------------------] CUT HERE [-----------------------------]