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/ Software Vault: The Diamond Collection / The Diamond Collection (Software Vault)(Digital Impact).ISO / cdr48 / htasc14.zip / REGISTER.FRM < prev   
Text File  |  1995-03-18  |  2KB  |  59 lines
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  2.   Charles S. Dittell   Suncoast Software Systems    Registration Form
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  4.   Make check or m.o. payable to CHARLES DITTELL
  5.  
  6.        Charles Dittell                     BBS Support: 813-953-5505
  7.        Suncoast Systems
  8.        923 East Ave N.                           (Suncoast City BBS)
  9.        Sarasota, FL 34237
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  11.    
  12.    Personal Registration (non-business)
  13.    
  14.    Qty  Product                         Cost Each           Total
  15.  
  16.    ___ _HTASC__________________________   $_5.00____      $_________
  17.  
  18.    ___ ________________________________   $_________      $_________
  19.  
  20.                                                    Total  $_________
  21.  
  22.    Business Registration
  23.  
  24.    ___ _HTASC__________________________   $_5.00____      $_________
  25.  
  26.    ___ ________________________________   $_________      $_________
  27.  
  28.                                                     Total $_________
  29.  
  30.    Source Code Purchase
  31.  
  32.    ___ _HTASC_________________________    $_45.00___      $_________
  33.  
  34.  
  35.  GRAND TOTAL:                             $_________      $_________
  36.  
  37.   Checks and Money Orders must be drawn on U.S. banks in U.S. funds!
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  39.  
  40.  
  41.          Name ______________________________________________________
  42.  
  43.      (Company)______________________________________________________
  44.  
  45.       Address ______________________________________________________
  46.  
  47.               _____________________________________________________
  48.  
  49.         Phone_________________________  Bus.________________________
  50.  
  51.     BBS Phone_________________________
  52.  
  53.      Comments_______________________________________________________
  54.  
  55.              _______________________________________________________
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  57.  Thank you for your support of the ShareWare system of software marketing!
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