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Text File  |  1992-12-18  |  2KB  |  48 lines

  1. REGISTRATION FOR CALLCNT V2.00
  2.  
  3.         Please print out this form, sign it and mail it along with your
  4.         registration payment.
  5.  
  6.         Please make payment to:     Larry Edwards
  7.                                     P.O. Box 3429
  8.                                     Kent, Washington 98032
  9.  
  10.         Please register one copy of CALLCNT for each user at your site.
  11.  
  12.          CALLCNT Registration   Qty. _____ @ $5.00 ea.          = ___________
  13.  
  14.          Wash. Residents Add Applicable Sales Tax               + ___________
  15.  
  16.          Total Payment                                           $-----------
  17.  
  18.        PAYMENT MUST BE IN US DOLLARS OR YOUR ORDER CAN NOT BE PROCESSED
  19.  
  20.         *** MAKE ALL CHECKS PAYABLE TO: LARRY EDWARDS ***
  21.  
  22.  
  23.              Name:  ___________________________________________________
  24.  
  25.           Address:  ___________________________________________________
  26.  
  27.  City, State, Zip:  ___________________________________________________
  28.  
  29.           COUNTRY:  ___________________________________________________
  30.  
  31.         Day Phone:  ____________________  Eve:  _______________________
  32.  
  33.         BBS Number: --------------------
  34.  
  35.         Signature:  ______________________Date:________________________
  36.  
  37.         Where did you get your copy of CALLCNT? ________________________
  38.  
  39.         _______________________________________________________________
  40.  
  41. Comments:
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  46.  
  47. ______________________________________________________________________________
  48.