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Text File  |  1996-06-10  |  2KB  |  70 lines

  1.  
  2. Complete the form below to register your software for personal
  3. use on a single computer.
  4.  
  5. NOTE:
  6.   Please check each applications respective URL for latest 
  7.   prices and versions.
  8.  
  9. GME SYSTEMS REGISTRATION FORM for Single Users ONLY
  10.  
  11. PROGRAM:                                            # COPIES              AMOUNT
  12.  
  13. SwagMan HTML Editor (With Upgrades) US $30.00     ________           $________
  14. (http://www.iinet.net.au/~bwh/swagman.html)
  15.  
  16. SwagMan HTML Editor (No Upgrades)   US $15.00     ________           $________
  17. (http://www.iinet.net.au/~bwh/swagman.html)
  18.  
  19.  
  20. Frame-It (HTML Frame Generator)     US $15.00     ________           $________
  21. (http://www.iinet.net.au/~bwh/frame-it.html)
  22.  
  23.  
  24. Add $5.00 Postage & Handling if Required                             $________
  25.  
  26.            
  27. TOTAL         . . . . . . . . . . . . . . . . . . . .                $________
  28.  
  29.  
  30. PAYMENT INFORMATION:
  31.  
  32.    CHARGE:
  33.  
  34.    MasterCard ___   Visa ___    Bankcard ___    Cheque/Money Order ___
  35.  
  36.  
  37. Card Number   :___________|____________|____________|_____________
  38.  
  39. Expiry Date   :____/____
  40.  
  41. Card Issued To:__________________________________________________
  42.  
  43. Signature     :_______________________________________________________
  44.                                                                       
  45. MAILING ADDRESS:
  46.  
  47. Name:____________________________________________________________
  48.  
  49. Address:_________________________________________________________
  50.  
  51. City/State/Province:_____________________________________________
  52.  
  53. Country/Postal Code:_____________________________________________
  54.  
  55. Telephone (Voice/FAX/Modem):_____________________________________
  56.  
  57. Internet Email Address:__________________________________________
  58. (The address we will email the registration code to ).
  59.  
  60. FAX         +61 9 446-9413 
  61.  
  62. MAIL        GME Systems Pty Ltd
  63.             P.O. Box 657
  64.             DoubleView,
  65.             Perth, Western Australia,
  66.             Australia, 6918
  67.  
  68.  Internet Email: bwh@iinet.net.au
  69. ________________________________________________________________
  70.