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Text File  |  1996-04-30  |  2KB  |  56 lines
  1.  
  2. LICENSE REGISTRATION FORM                Remit to:   Neil Clasen
  3.                                                      Attn: NCRisk Users
  4.                                                      P.O. Box 496
  5. INVOICE NUMBER: NCR30A-1                             Burnt Hills, N.Y.  12027
  6.  
  7. [  ]     I have tried NCRisk and do not wish to register now. I am just
  8.          enclosing information/suggestions/comments.
  9.  
  10. Quantity                      Description                             Amount
  11.  
  12. ________ Single user NCRisk license Registration only    $19.00 each _________
  13.  
  14. ________ Single user NCRisk license Registration and     $24.00 each _________
  15.          3.5" disk(s) with latest version
  16. ________ Single user NCRisk license Registration and     $24.00 each _________
  17.          5.25" disk(s) with latest version
  18.  
  19. Payment by:   [  ] Check     [  ] Money Order                 Total $_________
  20.  
  21. Name: ________________________________________________   Date: _______________
  22.  
  23. Address: _____________________________________________________________________
  24.  
  25.          _____________________________________________________________________
  26.  
  27. Phone Number(s): _____________________________________________________________
  28.  
  29. Source NCRisk was obtained from: _____________________________________________
  30.  
  31. If ordering a new copy:
  32.      Name to appear as the registrant: _______________________________________
  33.  
  34. The following information is helpful:
  35.  
  36. Computer Maker: ___________________________   Model: _________________________
  37.  
  38. Operating System: _________________________   Version: _______________________
  39.  
  40. System Graphics: __________________________   Memory: ________________________
  41.  
  42. Computer is used for: ________________________________________________________
  43.  
  44. Favorite Software: ___________________________________________________________
  45.  
  46. Suggestions for other "User Support" software: _______________________________
  47.  
  48. ______________________________________________________________________________
  49.  
  50. Comments: ____________________________________________________________________
  51.  
  52. ______________________________________________________________________________
  53.  
  54. ______________________________________________________________________________
  55.  
  56.