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REGISTER.FRM
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1996-06-14
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Charles S. Dittell Suncoast Software Systems Registration Form
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Make check or m.o. payable to CHARLES DITTELL
Charles Dittell BBS Support: 941-953-5505
Suncoast Systems
923 East Ave N. (Suncoast City BBS)
Sarasota, FL 34237
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Personal Registration (NON-business)
Qty Product Cost Each Total
___ _HTASC__________________________ $_6.00____ $_________
___ ________________________________ $_________ $_________
Total $_________
Business Registration
___ _HTASC__________________________ $_8.00____ $_________
___ ________________________________ $_________ $_________
Total $_________
Source Code Purchase (QuickBasic 4.5)
___ _HTASC_________________________ $_60.00___ $_________
(Some licensing restrictions apply)
GRAND TOTAL: $_________ $_________
Checks and Money Orders must be drawn on U.S. banks in U.S. funds!
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Name ______________________________________________________
(Company)______________________________________________________
Address ______________________________________________________
______________________________________________________
E-Mail Address (if any) ___________________________________________
Phone_________________________ Bus._________________________
Comments_______________________________________________________
_______________________________________________________
Thank you for your support of the ShareWare system of software marketing!