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Text File  |  1996-09-02  |  1KB  |  60 lines
  1.                  ================================
  2.                       REMINDER Version 1.1 
  3.                        Registration Form
  4.                  ================================
  5.  
  6. (Please Print)
  7.  
  8. Name:______________________________________________________
  9.  
  10. Street:____________________________________________________
  11.  
  12.        ____________________________________________________
  13.  
  14. City:_______________________________  State:_______________
  15.  
  16. Zip:__________
  17.  
  18. Country:___________________________________________________
  19.  
  20. EMail Address (Optional):__________________________________
  21.  
  22. Where did you find this software? (Optional):
  23.  
  24. ___________________________________________________________
  25.  
  26. Comments/Suggestions (Optional):
  27.  
  28. ___________________________________________________________
  29.  
  30. ___________________________________________________________
  31.  
  32. ___________________________________________________________
  33.  
  34. Yes, I'd like to register Reminder Version 1.1
  35.  
  36. 1. Reminder v. 1.1: $10.00
  37.  
  38. Please send _____ copies of registered version of the Reminder by:
  39.  
  40. Air Mail: $4.00
  41.  
  42. E-Mail : $0.00
  43.  
  44.  
  45. Total:  $________
  46.  
  47. Please make your checks payable in US currency to:  
  48.  
  49. Sergei Stepanov
  50.  
  51. Please send this form and your payment to:
  52.  
  53. Sergei Stepanov
  54. Karja str. 17-43
  55. EE2001 Narva-Joesuu
  56. Republic of Estonia
  57.  
  58.  
  59. Thank You for ordering Reminder for Windows95.
  60.