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REGISTER.CRE
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Text File
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1990-12-17
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2KB
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55 lines
Please support quality SHAREWARE by registering it.
We thank you for your support.
PC-INFO REGISTRATION FORM
CHEAT RIVER ENGINEERING
23 Richwood Place
P.O. Box 289
Denville, NJ
07834-0289
Purchase orders for less than $150 must be prepaid.
PC-INFO Registration $15.00 or ______
Overseas (Non-US/CANADA) shipping and handling $ 5.00 or ______
(Required even with Prepayment!)
TOTAL $______
Payment by: Check (U.S. bank or branch) enclosed ___
American Express Card ___
Master Card ___
Optima Card ___
Traveller's Checks (Payable in U.S. dollars ONLY!) ___
VISA ___
Disk Size Preferred: 5 1/4" ______ 3 1/2" ______
(If no preference is stated, 5 1/4" will be supplied.)
Name ___________________________________________________________________
Address ___________________________________________________________________
___________________________________________________________________
City ________________________________ State ______ Zip Code ____________
Country ___________________________________________________________________
>>>>>>..... Following only needed for Credit Card .....<<<<<<
Work Phone (____) __________________ Home Phone (____) ________________
Card # ______________________________________ Expiration Date _____________
Name of Cardholder ________________________________________________________
Signature __________________________________________________________________
Credit card orders may be placed via telephone at 201-627-5460 or via
an Easyplex message on Compuserve addressed to us at 73710,2611