home *** CD-ROM | disk | FTP | other *** search
/ Kids Cube / 2_Music.iso / listenup / register.doc < prev    next >
Text File  |  1992-01-25  |  1KB  |  38 lines

  1.  
  2.  
  3.  
  4.  
  5.  
  6.  
  7.                   REGISTRATION FORM
  8.  
  9. Full Name____________________________________________________
  10.  
  11. Address______________________________________________________
  12.  
  13. City________________________________
  14.  
  15. State/Province______________________ Zip/Postal Code_________
  16.  
  17. I enclose a Money Order for $19.00 for ListenUp 2.1
  18. Educational Organizations please send $50.00 per site. I
  19. understand that I will receive a free upgrade in 3 to 4 weeks
  20.  
  21. Purchase Order # (if applicable)___________________
  22.  
  23. Diskette Size     3.5" ___      5.25" ___
  24.  
  25. Signature________________________________
  26.  
  27.  
  28.  
  29.  
  30.                          Send To:
  31.  
  32.                     Fred Palmer Software
  33.                      13214 - 90 Street
  34.                      Edmonton, Alberta
  35.                           T5E 3M6
  36.                           CANADA
  37.  
  38.