home *** CD-ROM | disk | FTP | other *** search
/ Magnum One / Magnum One (Mid-American Digital) (Disc Manufacturing).iso / d18 / tpdb13.arc / REGISTER.FRM < prev    next >
Text File  |  1989-02-13  |  999b  |  44 lines
  1. Registration Form   TPDB Version 1.3
  2.  
  3. Company:_____________________________________
  4.  
  5. Name:_________________________________________
  6.  
  7. Address:______________________________________
  8.  
  9. City:_________________________________________
  10.  
  11. State:________________________________________
  12.  
  13. Country:______________________________________
  14.  
  15.  
  16.  
  17. Are you a: __ non-profit or a __ commercial user ?
  18.  
  19.  
  20. Registration Fees
  21.  
  22.      Non-profit Users (excluding government)       $ 10
  23.  
  24.      Commercial users                              $ 15
  25.  
  26.      Upgrade                                       $  5
  27.  
  28. Enter amount remitted                              $______
  29.  
  30.      Add sales tax for PA residents at 6%          $______
  31.  
  32.      Total remittance                              $______
  33.  
  34.  
  35. Mail registration forms and checks or money orders to :
  36.  
  37.           Ten B.C. Micro Systems
  38.           Brian Corll
  39.           102 West Locust Street
  40.           Mechanicsburg, PA 17055
  41.  
  42. Thank you, and enjoy !
  43.  
  44.