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Text File  |  1994-03-30  |  2KB  |  59 lines
  1. Registration Form
  2.  
  3.  
  4. Quantity ________  x $ 5.00     =           $  ________
  5.  
  6. Shipping (U.S. $4.00, Canada and
  7.   Mexico $6.00, foreign $8.00)              $  ________
  8.  
  9. Ohio Residents please add 5.5% sales tax    $  ________
  10.  
  11. Total                                       $  ________
  12.  
  13. Please include a Check or Money Order made payable to
  14. Kevin Royalty.
  15.  
  16.  
  17.  
  18.           Diskette size: [  ] 3.5"   [  ] 5.25"
  19.  
  20.  Name     _______________________________________________
  21.  Company  _______________________________________________
  22.  Address  _______________________________________________
  23.           _______________________________________________
  24.           _______________________________________________
  25.  Phone    _______________________________________________
  26.  
  27. I have read and agree to abide by the license agreement:
  28.  
  29.  Signature  _____________________________________________
  30.  
  31.  
  32. Where did you get Doom Launcher?
  33.  
  34.  ___________________________
  35.  
  36. If you received DOOM Launcher! from a BBS, what is its complete 
  37. name and phone number?
  38.  
  39. ___________________________________
  40. _________________________________________________________
  41.  
  42. Please include any comments or suggestions on the lines
  43. which follow.  Use an additional page if necessary.
  44. _________________________________________________________
  45. _________________________________________________________
  46. _________________________________________________________
  47. _________________________________________________________
  48. _________________________________________________________
  49. _________________________________________________________
  50. _________________________________________________________
  51. _________________________________________________________
  52.  
  53. For information about volume discounts, site  licenses, and
  54. technical questions please contact Kevin Royalty.
  55.  
  56. Mail this form to:  Kevin Royalty
  57.                     11460 Mill Road
  58.                     Cincinnati, OH  45240
  59.