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Text File  |  1994-01-15  |  3KB  |  62 lines
  1.   (If you do not want to fill out the form, dial (800)-242-4775 to order !)
  2.   
  3.   R E G I S T R A T I O N  /  O R D E R   F O R M     Contact-Lens! v2.2
  4.   -------------------------------------------------------------------------
  5.   For details about the below options, read the   |  Please include your
  6.   On-Line Manual (from within the program on the  |  check or money order 
  7.   page No. below). Enter the No. of orders:       |  payable to:
  8.                                                   |          
  9.   |_______|    |________|   |________|   |_____|  | Kruse Control Software
  10.   Shareware    Imp/Export   Commercial   Network  | 30 Ridge Road, Suite 21 
  11.  Registration:   Module:     Version:    Version: | Ridgewood, NJ  07450   
  12.    Page 25      Page 30       Page 30    Page 30  | Phone: (201)-670-0677
  13.      $25 <-+-> (Included)      *$75*       $300   | CompuServe: 70324, 1034 
  14.   -------------------------------------------------------------------------
  15.   *Commercial Version is only = $50 for those who have already sent us the 
  16.   $25.00 registration fee for the Shareware Version! Don't forget DISK SIZE. 
  17.  
  18.   Name: |__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|  Date: _______
  19.   (PRINT Up to 17 Characters EXACTLY as it will appear on the first screen !)
  20.  
  21.   Address: ____________________________________________  Registered with us
  22.                                                          already (Y/N)? ____
  23.            ____________________________________________  Phone Numbers:
  24.                                                          
  25.            ____________________________________________  Day:________________
  26.                                                                               
  27.      City: ____________________________________________  Night:______________
  28.    
  29.     State: _________________________            Computer: __ 8088 Based 
  30.                                                           __ 80286
  31.       Zip: ______________                                 __ 80386SX
  32.                                                           __ 80486
  33.                                                           __ Pentium
  34.   Preferred Disk size:  3 1/2" 720K   ____    <-.         __ Other (______)
  35.                         3 1/2" 1.44MB ____    <-|  
  36.                         5 1/4" 720KB  ____    <-(Please check ONLY
  37.                         5 1/4" 1.2MB  ____    <- ONE diskette size).
  38.   
  39.   Notes / Special Shipping instructions:             
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