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Text File  |  1991-01-05  |  2KB  |  53 lines
  1.  
  2.                 ----------------------------------------------
  3.                          ARRMOUSE  Registration Form
  4.                 ----------------------------------------------
  5.  
  6.       Register to receive latest version.
  7.  
  8.                                                     Date: _____________
  9.  
  10.       Name: ___________________________________________________________
  11.  
  12.       Company: ________________________________________________________
  13.  
  14.       Address: ________________________________________________________
  15.  
  16.       _________________________________________________________________
  17.  
  18.       City: ___________________________________________________________
  19.  
  20.       State/Country: ________________________ Zip: ____________________
  21.  
  22.       Phone  Work: (_____) _____ - ______  Home: (_____) _____ - ______
  23.  
  24.       ------------------------------------------------------------------
  25.       Description                            Qty.      Price    Total
  26.       ------------------------------------------------------------------
  27.  
  28.       Registering ARRMOUSE  v1.1             ____   X $10.00 =  ________
  29.  
  30.                                                     Shipping +     2.50
  31.                                           
  32.          (AZ residents please add 6.7% sales tax)       Tax     ________
  33.  
  34.                                                         TOTAL  $________
  35.  
  36.       All checks and money orders must be drawn in U.S. Dollars
  37.       (on U.S. account).
  38.  
  39.       Please Send To:  Seth W. Comstock
  40.                        4835 W. Montecito
  41.                        Phoenix, AZ 85031
  42.                         (602) 247-1621
  43.  
  44.       This info is not necessary, it is for my own use to help in
  45.       supporting the program.
  46.       Type of mouse? _________________________   Number of buttons? ____
  47.  
  48.       Microsoft(tm) compatible ____    Mouse Systems(tm) compatible ____
  49.  
  50.       Any suggestions?
  51.  
  52.  
  53.