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Text File  |  1994-05-10  |  2KB  |  50 lines

  1.                       Safe Erase(tm) Registration Form
  2.  
  3. _______ copies of Safe Erase @ $25 each on
  4.         [ ] 3.5"  [ ] 5.25" diskette size             $  ________
  5.  
  6. Shipping
  7. (U.S. $2.00, Canada and Mexico $3.00, Others $5.00)   $  ________
  8.  
  9. New Jersey residents please add sales tax             $  ________
  10.  
  11. Total                                                 $  ________
  12.  
  13. Please include a Check or Money Order made payable to
  14. Softech Development, Inc. and mail to:
  15.  
  16. Softech Development Inc.
  17. P.O. Box 9139
  18. Trenton, NJ  08650-9139
  19.  
  20.  Name     _______________________________________________
  21.  Company  _______________________________________________
  22.  Address  _______________________________________________
  23.           _______________________________________________
  24.           _______________________________________________
  25.  Phone    _______________________________________________
  26.  
  27.  
  28. Where did you get Safe Erase?
  29. _________________________________________________________
  30. _________________________________________________________
  31.  
  32. Please include any comments, suggestions or features you
  33. would like to see on the next release.
  34. _________________________________________________________
  35. _________________________________________________________
  36. _________________________________________________________
  37. _________________________________________________________
  38. _________________________________________________________
  39. _________________________________________________________
  40. _________________________________________________________
  41.  
  42.  
  43. Softech Development Inc.
  44. P.O. Box 9139
  45. Trenton, NJ  08650-9139
  46. (609) 588-0679
  47. CIS Contact ID 73067,361
  48.  
  49. Copyright(c) Softech Development, Inc. 1992-1994. All rights reserved.
  50.