home *** CD-ROM | disk | FTP | other *** search
/ The 640 MEG Shareware Studio 2 / The 640 Meg Shareware Studio CD-ROM Volume II (Data Express)(1993).ISO / mailers / dbtrim11.zip / REGISTER.FRM < prev   
Text File  |  1992-10-17  |  1KB  |  39 lines
  1. -------------------------------------------------------------------------------
  2.  
  3.                                 DBTRIM V1.10
  4.                              REGISTRATION FORM
  5.                              -----------------
  6.                               (Please Print)
  7.  
  8. First Name :_____________________________ Last Name:_________________ MI:_____
  9.  
  10. Address:_____________________ City:________________ State:____ Zip Code:______
  11.  
  12. Country:_____________________ Home Phone: (     )___________________
  13.  
  14.  
  15.  
  16.  
  17. WHAT SIZE DISK DO YOU WANT THE PROGRAM SENT ON?:    3 & 1/2"     5 & 1/4"
  18.  
  19.  
  20.                               USA or CANADA 
  21.                             ~~~~~~~~~~~~~~~~~
  22.                            DBTRIM  : $ 5.00
  23.                            Shipping: $ 1.50
  24.  
  25. NOTE:
  26. Shipping not required if the program is to be downloaded from the BBS.
  27.  
  28.  
  29.                            TOTAL   : $_______
  30.  
  31. Please make out a check or money order in US FUNDS ONLY for the TOTAL and:
  32.  
  33.         Then mail it with this form to the following address:
  34.  
  35.                              Dean Buxton
  36.                              6402 62nd St. N.
  37.                              Pinellas Park, FL  34665
  38. -------------------------------------------------------------------------------
  39.