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Text File  |  1992-09-02  |  2KB  |  49 lines
  1.                               RTX REGISTRATION FORM
  2.  
  3.  
  4.       To register,  please fill out  the form below,  sign it, and  mail it
  5.       along  with  your  $30.00  check  or  money  order  made  payable  to
  6.       "Cyberphilia, Inc." to:
  7.  
  8.                                 Cyberphilia, Inc.
  9.                                1465 Midland Avenue
  10.                             Bronxville, NY 10708-6035
  11.  
  12.       ---------------------------------------------------------------------
  13.  
  14.            Name: ________________________________________________________
  15.  
  16.         Company: ________________________________________________________
  17.  
  18.         Address: ________________________________________________________
  19.  
  20.                  ________________________________________________________
  21.  
  22.            City: ________________________  State: ____  Zip: ____________
  23.  
  24.       Telephone: ________________________________________________________
  25.  
  26.  
  27.       Below, please indicate the media format you prefer to receive the Rtx
  28.       Source Code  on,  which will  be sent  to you  upon  receipt of  this
  29.       registration (check one):
  30.  
  31.            [ ] 360K 5-1/4"    [ ] 1.4MB 3-1/2"    [ ] 1.2MB 5-1/4"
  32.  
  33.  
  34.                              NON-DISCLOSURE AGREEMENT
  35.  
  36.       In  consideration  of being  made  privy to  confidential information
  37.       pertaining  to the  computer  source  code  and  internal  design  of
  38.       Cyberphilia, Inc.'s "Rtx Professional Toolbox," I hereby agree not to
  39.       disclose  this  information  to  third  parties  and  to  treat  this
  40.       information as a trade secret belonging to Cyberphilia, Inc.
  41.  
  42.  
  43.  
  44.       _________________________________________ (Signature)
  45.  
  46.  
  47.       ______________________ (Date)
  48.  
  49.