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Text File  |  1992-07-14  |  2.4 KB  |  60 lines
  1. DiscTrak System - Version 1.70
  2. Copyright (c)1992 Blam Entertainment Group, All Rights Reserved
  3. Registration / Upgrade Form
  4.  
  5.  
  6.    Remit to:       Blaine R. Young
  7.                    Blam Entertainment Group
  8.                    916 Tanguay Court
  9.                    Kanata, ONT. CANADA  K2L 3X5    DATE _________________
  10.  
  11.   Current Revision ____________________    Compile Date _________________
  12.  
  13.      Serial Number ____________________
  14.                 Registered Updates Only
  15.  
  16.                                          Registration 
  17. Registration Type                            Fees      QUANTITY  SUBTOTAL
  18. --------------------------------------- -------------- --------  --------
  19.                                            US     CDN
  20. Current Version (no disk sent)            $25     $30 x________  ________
  21.  
  22. Newest Version
  23.  disk sent - please specify size          $30     $37 x________  ________
  24.  
  25. Upgrade to Newest Version 
  26.  disk sent - specify disk size             $5      $7 x________  ________
  27.  
  28.   5-1/4  ________       3-1/2  ________          TOTAL ________  ________
  29.  
  30. Name_____________________________________________________________________
  31.  
  32. Company__________________________________________________________________
  33.  
  34. Address__________________________________________________________________
  35.  
  36. _________________________________________________________________________
  37.  
  38. _________________________________________________________________________
  39.  
  40. Phone  (H)___________________________  (W)_______________________________
  41.  
  42. Where did you hear about DiscTrak System_________________________________
  43.  
  44. Comments_________________________________________________________________
  45.  
  46. _________________________________________________________________________
  47.  
  48. _________________________________________________________________________
  49.  
  50. _________________________________________________________________________
  51.  
  52. _________________________________________________________________________
  53.  
  54. *    Please make checks and Money Orders payable to Blaine R. Young.
  55. *    Checks and Money Orders MUST be drawn on U.S. banks, payable in U.S.
  56.      currency or drawn on Canadian banks, payable in Canadian currency.
  57. *    You will receive documentation through the mail containing your
  58.      serial number and detailed instructions on how to install it.
  59. *    All diskettes shipped will be low density.
  60.