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CCARD.FRM
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Text File
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1995-04-26
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2KB
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60 lines
Credit/Charge Card Registration Form
====================================
Program: SAFEPACK v2.1 Serial No: OS5
Please register me as a user of SAFEPACK. I have ticked one of the
options below, indicating how and when I wish to receive my
registered copy:
[ ] Please send me the latest available version of SAFEPACK.
[ ] If there is a version of SAFEPACK later than 2.1, please send a
copy immediately. If not, please send an updated version when
available, and in the meantime, send details of how to convert
my shareware version to a fully registered copy of SAFEPACK.
I authorize you to charge the sum of nine (9) pounds Sterling to my
credit/charge card, the details of which appear below.
Type of Card (Delete those inapplicable) :
Visa / Mastercard / Access / Eurocard
Number: __________________________________________
Expiry Date: ___________
Name: ________________________________
Company (if applic): ________________________________
Address: ________________________________
________________________________
Postcode/ZIP Code: ________________________________
Country: ________________________________
Signed: _____________________________
Date : _____________________________
Disk Size Required: _________________
Program obtained from: _______________________________
(optional)
When completed this form should be sent to:
D J Harvey Software,
PO Box 14,
Cardiff CF4 6XW
UK.
Alternatively, edit in your details, and send by Compuserve Mail to
100031,627.