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/ The 640 MEG Shareware Studio 2 / The 640 Meg Shareware Studio CD-ROM Volume II (Data Express)(1993).ISO / utility / dc100a.zip / ORDER.FRM < prev   
Text File  |  1992-07-20  |  1KB  |  49 lines
  1.  
  2.                           DC -The Disk Closet-
  3.                           Donald M. Langhorne
  4.                        South 5241 Columbia Avenue
  5.                            Hamburg, NY 14075
  6.                                 V1.00a
  7.                            Registration Form
  8.                            -----------------
  9.  
  10.     Name:________________________________________________
  11.     
  12.     
  13.     Company:_____________________________________________
  14.  
  15.     
  16.     Address:_____________________________________________
  17.  
  18.     
  19.     Address:_____________________________________________
  20.         
  21.     
  22.     City:__________________________  State:____  Zip:__________-______
  23.  
  24.  
  25.     Phone(Optional):__ __ __-__ __ __-__ __ __ __
  26.  
  27.     Comments:_________________________________________________________
  28.  
  29.     __________________________________________________________________
  30.     
  31.     __________________________________________________________________
  32.         
  33.     Where you found DC:_______________________________________________
  34.  
  35.  
  36.     Item                  Quantity      Unit            Total
  37.     =========================================================
  38.  
  39.     Registration of DC      ________    *$15            ______
  40.  
  41.     Copy of Latest Version    
  42.     of DC on diskette.      ________    *$5             ______    (Optional)
  43.  
  44.          (Diskette Size     5.25: ______ 3.5:_____)
  45.           Overseas Orders   Please add $1 per license   ______    
  46.  
  47.  
  48.                            Grand Total:                 ______
  49.