home *** CD-ROM | disk | FTP | other *** search
/ Magnum One / Magnum One (Mid-American Digital) (Disc Manufacturing).iso / d23 / fsp_17.arc / REWARD.FRM < prev    next >
Text File  |  1989-08-29  |  2KB  |  59 lines
  1.  
  2.  
  3.  
  4.         -------------------------------------------------------------------------------
  5.  
  6.                       Registration Form for Reward Donation
  7.  
  8.  
  9.         Yes!  I want to do what I can do nail these worms, so I'd like to 
  10.         donate the following hardware and software:
  11.  
  12.         (Please  include the condition of what you're willing to  donate, 
  13.         its  version  number (if any)  and its approximate retail  value.  
  14.         If you'd like to donate cash to be included in any reward, please 
  15.         indicate how much.)
  16.  
  17.  
  18.         Software:____________________________________________________________________
  19.  
  20.                  ____________________________________________________________________
  21.  
  22.                  ____________________________________________________________________
  23.  
  24.  
  25.         Hardware:____________________________________________________________________
  26.  
  27.                  ____________________________________________________________________
  28.  
  29.                  ____________________________________________________________________
  30.  
  31.  
  32.         DO NOT SEND YOUR DONATIONS IN AT THIS TIME.   YOU'LL BE CONTACTED 
  33.         WHEN  (NOT IF!) THESE MISERABLE LITTLE BOILS GET LANCED AND  THEY 
  34.         GET CONVICTED OF WHATEVER WE CAN NAIL THEM ON.
  35.  
  36.  
  37.         Name:_________________________________________________________
  38.  
  39.         Title:________________________________________________________
  40.  
  41.         Company:______________________________________________________
  42.  
  43.         Address:______________________________________________________
  44.  
  45.                 ______________________________________________________
  46.  
  47.         City:   _____________________     State: _________  Zip:______
  48.  
  49.         Telephone:__________________________________
  50.  
  51.  
  52.         Please fill out this form, then mail it to:
  53.  
  54.              Ross M. Greenberg, Software Concepts Design
  55.              594 Third Avenue, New York, New York 10016
  56.  
  57.         -------------------------------------------------------------------------------
  58.                     THANKS FOR HELPING!  IT *IS* APPRECIATED!
  59.