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Text File  |  1994-10-15  |  4KB  |  56 lines
  1. ********************************************************************************
  2.                            Flat Rabbit Software (TM)
  3.                    Product Registration Form for BOXEM - V1.1
  4.                     (C) Copyright 1994 - All Rights Reserved
  5. ********************************************************************************
  6. BOXEM is not free-ware. After the initial inspection period, if you choose to
  7. leave BOXEM on your computer, you are obligated by law to pay for the software.
  8. ********************************************************************************
  9.  
  10.           Name: ____________________________________________
  11.  
  12. Street Address: ________________________________________________________________
  13.                                                                
  14.           City: _____________________________   State: _____  Zip: _____________
  15. ********************************************************************************
  16. Where did you get this copy of BOXEM?   ____ BBS    ____ Shareware Distributor
  17. ********************************************************************************
  18. Picture Sets (6 pictures/sounds/descriptions in each set):
  19.         Set #1 - Wild Animals:   Lions, Tigers, Bears, (Oh My!) ... 
  20.         Set #2 - Space Stuff:    Space Walks, Planets, Space Shuttle, ...
  21.         Set #3 - Transportation: Planes, Trains, Automobiles, ...
  22.                              any 1 Picture Set  ( 6 pictures)........... $15.00
  23.                              any 2 Picture Sets (12 pictures)........... $20.00
  24.                              all 3 Picture Sets (18 pictures)........... $25.00
  25. ********************************************************************************
  26. Cost (includes diskettes):
  27.  
  28. Picture Sets (mark desired sets) __ Animals  __ Space  __ Transporation
  29.                                   (1 Set $15 / 2 Sets $20 / 3 Sets $25) _______
  30.  
  31.                                   (Texas residents add 7.25%) Sales Tax
  32.                                                     ($1.09/$1.45/$1.81) _______
  33.  
  34.                                                     Shipping & Handling   $2.95
  35.                                                                         -------
  36.                                                                   Total
  37.                                 (Texas Residents: $19.04/$24.40/$29.76)
  38.                                          (Others: $17.95/$22.95/$27.95) _______
  39. ********************************************************************************
  40. Send Payment to:         Flat Rabbit Software
  41.                             P.O. Box 58115
  42.                           Webster, Tx. 77598
  43.   __ Check (made payable to     Credit Card # __________________________________
  44.      Flat Rabbit Software)
  45.                                 Name On Card ___________________________________
  46.   __ VISA Card
  47.                                 Signature ______________________________________
  48.   __ MasterCard
  49.                                 Expiration Date ________________________________
  50. ********************************************************************************
  51. Disk Delivery (mark one): __ 3.5" .7 Mbyte    __ 3.5" 1.4 Mbyte    __ 5.25"
  52. ********************************************************************************
  53. Please include any comments on this product on the back of this form.  If 
  54. registering by Email please add comments to bottom of this form.
  55. ********************************************************************************
  56.