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Text File  |  1998-04-15  |  1.5 KB  |  53 lines
  1.                   Seed Program Registration Form
  2.                   ------------------------------
  3.  
  4.  
  5.      Date: _____________                    Ref No: SP-110-3200
  6.  
  7.  
  8.      Name:     ___________________________________________
  9.  
  10.      Address:  ___________________________________________
  11.  
  12.                ___________________________________________
  13.  
  14.                ___________________________________________
  15.  
  16.      Phone:    ___________________________________________
  17.  
  18.      Disk Size:  [ ] 5.25"   [ ] 3.5" DD   [ ] 3.5" HD
  19.  
  20.      Payment by: [ ] Check   [ ] Money Order
  21.  
  22.      Where did you learn about the Seed Program?
  23.  
  24.      _____________________________________________________
  25.  
  26.      What type of PC do you use? _________________________
  27.  
  28.      Do you use Miscrosoft Windows?  [ ] Yes  [ ] No
  29.  
  30.      Do you have any comments or suggestions concerning The Seed Program?
  31.  
  32.      ____________________________________________________________
  33.  
  34.      ____________________________________________________________
  35.  
  36.      ____________________________________________________________
  37.  
  38.  
  39.                Registration Fee    $25.00
  40.                Shipping & Handling $ 3.00
  41.                -----------------------------
  42.                Total               $28.00
  43.  
  44.      (Canada and Mexico add $2.00, other countries add $4.00)
  45.  
  46. -------------------------------------------------------------------
  47.  
  48.      Mail this form with your payment to the author:
  49.  
  50.      Michael Wolter
  51.      4271 Carlisle Rd.
  52.      Gardners, PA 17324-8930
  53.