home *** CD-ROM | disk | FTP | other *** search
/ GFX Sensations 1 / Graphic Sensations - Volume 1.iso / tools / amiga / misc / imagdx22.lha / Registration < prev    next >
Encoding:
Text File  |  1994-09-04  |  1.6 KB  |  59 lines
  1.  
  2.                            ImageDex 2.2 Registration
  3.  
  4.                Send to:       Precision Imagery
  5.                               P.O. Box 20676
  6.                               Cranston, RI 02920
  7.                               USA
  8.  
  9. ------------------------------- Cut here 8< -------------------------------
  10.  
  11.  
  12. ______    ImageDex Registration fee............. @ US$15.00 ea. $ _________
  13.  
  14.  
  15.           SHIPPING & HANDLING  
  16.  
  17.           North America: $3;   Outside: $5                      $ _________
  18.  
  19.  
  20.  
  21.                                                        SUBTOTAL $ _________
  22.  
  23.  
  24.  
  25.          Rhode Island residents add Sales Tax......@ 7% (ouch!) $ _________
  26.  
  27.  
  28.  
  29.                         TOTAL (U.S. funds drawn on a U.S. bank) $ _________
  30.  
  31.  
  32. Name: _____________________________________________________________________
  33.  
  34. Company (ONLY if company address): ________________________________________
  35.  
  36. Address: __________________________________________________________________
  37.  
  38.          __________________________________________________________________
  39.  
  40.          __________________________________________________________________
  41.  
  42.   Phone: _________________________
  43.  
  44.   Email: _________________________
  45.  
  46.   Where did you get ImageDex? _____________________________________________
  47.  
  48.  
  49. Problems, bugs, compliments, suggestions, flames: _________________________
  50.  
  51. ___________________________________________________________________________
  52.  
  53. ___________________________________________________________________________
  54.  
  55. ___________________________________________________________________________
  56.  
  57. ___________________________________________________________________________
  58.  
  59.