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Text File  |  1995-12-25  |  1KB  |  55 lines

  1. User Registration Form for Tiles v1.0
  2. --------------------------------------
  3.  
  4. Send to:    Eph Software
  5.         11220 West Florissant Avenue, #165
  6.         Florissant, MO 63033
  7.  
  8. ***************************************************
  9. ***** Limited Offer: Register for only $14.95 *****
  10. *****                ($24.95 regular price)   *****
  11. ***************************************************
  12.  
  13. Date:______________________________________________
  14.  
  15.  
  16. Name:______________________________________________
  17.  
  18. Address:___________________________________________
  19.  
  20. City/State:________________________________________
  21.  
  22. Country if not USA:________________________________
  23.  
  24. Zip or Postal Code:________________________________
  25.  
  26. Phone:_____________________________________________
  27.  
  28.  
  29. Type of diskette? ___5.25 inch   ___3.5 inch
  30.  
  31. Disk density? ___HD   ___DD
  32.  
  33. Note: 3.5 inch DS/HD hold 1.44MB; 3.5 inch DS/DD hold 720KB;
  34.       5.25 inch DS/HD hold 1.2MB; 5.25 inch DS/DD hold
  35.  
  36.       360KB.
  37.      
  38.  
  39. Computer Type:____________________  Video Type:_____________
  40.  
  41.  
  42. Send this form along with your check or money order for $14.95 plus $4 
  43. shipping/handling ($5 outside U.S.A.).
  44.  
  45. MO residents please add 5.975% sales tax: $________
  46.  
  47. TOTAL ENCLOSED: $___________
  48.  
  49. MAKE PAYMENT IN U.S. DOLLARS AND PAYABLE TO EPH SOFTWARE!
  50. RETURNED CHECKS ARE SUBJECT TO A $10.00 FEE.
  51.  
  52. PLEASE ALLOW 6-8 WEEKS FOR SHIPMENT.
  53.    
  54. * * * * * * * * #0001RF * * * * * * * *
  55.