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Text File  |  1996-06-09  |  2KB  |  61 lines
  1.  
  2.  
  3.                              2.22 REGISTRATION FORM
  4.  
  5.           MAKE ANY REGISTRATION CHECK PAYABLE TO:
  6.                               William S. Hiles
  7.  
  8.             (USERS OUTSIDE THE US: If possible, please send checks drawn
  9.             on US banks in US dollars.  Foreign checks can be accepted but
  10.             require up to 4 weeks processing at the bank.)
  11.  
  12.           Send to:            WiSHware Inc.
  13.                               Attn. William S. Hiles
  14.                               P.O. Box 5272
  15.                               Herndon, VA 22070
  16.  
  17.           CREDIT CARD ORDERS ARE NOT ACCEPTED AT THIS TIME.
  18.  
  19.           ____ PMsndX registration of one verion. @ $ 10.00 ea  $ ______
  20.                (does not include a disk)
  21.  
  22.           ____ PMsndX registration up to the..... @ $ 20.00 ea  $ ______
  23.                next major release
  24.                (does not include a disk)
  25.  
  26.           ____ Lifetime PMsndX registration...... @ $ 40.00 ea  $ ______
  27.                (does not include a disk)
  28.  
  29.                                                       Subtotal  $ ______
  30.  
  31.           ____ Shipping, Packaging, Diskettes ... @ $ 5.00 ea   $ ______
  32.                (for disk version only)
  33.  
  34.                                                           Total $ ______
  35.  
  36.  
  37.           Registered user information:
  38.  
  39.                Name:   __________________________________________________
  40.  
  41.             Address:   __________________________________________________
  42.  
  43.                    :   __________________________________________________
  44.  
  45.             Country:   __________________________________________________
  46.  
  47.             EMAIL:     __________________________________________________
  48.  
  49.             Phone:     __________________________________________________
  50.  
  51.           By signing in the space provided below, the user agrees to the
  52.           licensing information.  Further, if this is a FREE registration,
  53.           the individual agrees that this registration may not be used
  54.           at a government facility, or to gain profit from use or
  55.           redistribution of PMsndX except where stated in the licensing
  56.           agreement.
  57.  
  58.  
  59.                                         _________________________________
  60.                                         Signature                   Date
  61.