home *** CD-ROM | disk | FTP | other *** search
/ The Arsenal Files 6 / The Arsenal Files 6 (Arsenal Computer).ISO / internet / webwrite.zip / REGISTER.TXT < prev    next >
Text File  |  1996-02-11  |  2KB  |  62 lines
  1. ________________________________________________________________________________
  2.  
  3.                              W e b W r i t e r / 2
  4.                              =====================
  5.  
  6.                                   Version 1.1
  7.  
  8.                                REGISTRATION FORM                           
  9.  
  10. --------------------------------------------------------------------------------
  11.  
  12. Please fill out this form and send your check or money order (drawn on a U.S.
  13. bank) for $30.00 to:
  14.  
  15.  
  16.             John Blumel
  17.             1949 Green Oak Drive
  18.             Terrytown, LA  70056
  19.             USA
  20.  
  21. --------------------------------------------------------------------------------
  22.  
  23.  
  24.    First Name: ___________________  MI: ____ Last Name: ________________________
  25.  
  26.       Address: _________________________________________________________________
  27.  
  28.                _________________________________________________________________
  29.  
  30.                _________________________________________________________________
  31.  
  32.                _________________________________________________________________
  33.  
  34.       Country: ___________________
  35.  
  36.     Telephone: ___________________  Home [ ]  Work [ ]
  37.       
  38.                ___________________  Home [ ]  Work [ ]
  39.  
  40. Email Address: _________________________________________
  41.  
  42.  
  43. How did you Obtain WebWriter/2?
  44.  
  45.      ___________________________________________________________________________
  46.  
  47.      ___________________________________________________________________________
  48.  
  49.  
  50. Comments/Suggestions:
  51.  
  52.      ___________________________________________________________________________
  53.  
  54.      ___________________________________________________________________________
  55.  
  56.      ___________________________________________________________________________
  57.  
  58.      ___________________________________________________________________________
  59.  
  60.      ___________________________________________________________________________
  61.  
  62.