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/ Monster Media 1996 #15 / Monster Media Number 15 (Monster Media)(July 1996).ISO / os2 / filefrdm.zip / ORDERFRM < prev    next >
Text File  |  1996-06-05  |  1KB  |  56 lines
  1.                            FILE FREEDOM ORDER FORM
  2.                           -------------------------
  3.  
  4.             NAME:
  5.  
  6.             ADDRESS:
  7.  
  8.             CITY:
  9.  
  10.             PROVINCE (STATE):
  11.  
  12.             POSTAL CODE (ZIP CODE):
  13.  
  14.             COUNTRY:
  15.  
  16.             ---------------------------------------------------------------
  17.  
  18.             Please send my Registration Number to:
  19.  
  20.             MAIL TO ABOVE ADDRESS: Yes( )
  21.  
  22.             EMAIL ADDRESS:
  23.  
  24.             FAX (In North America Only):
  25.  
  26.             ---------------------------------------------------------------
  27.  
  28.             Send a Cheque or Money Order for $10.00 US
  29.  
  30.             (or $10.00 CAN plus GST for residents of Canada    ($10.70 CAN)
  31.                     and Ontario PST for residents of Ontario)  ($11.50 CAN)
  32.  
  33.             Make cheques or money orders payable to: Bruce Henry
  34.  
  35.             Mail to:
  36.  
  37.                     Bruce Henry
  38.                     Red Paint Software
  39.                     425 Hespeler Rd.
  40.                     Suite #209
  41.                     Cambridge, ON
  42.                     Canada N1R 8J6
  43.  
  44.             ---------------------------------------------------------------
  45.  
  46.             Operating System Version:
  47.  
  48.             OS/2 2.0   (  )
  49.             OS/2 2.1   (  )
  50.             OS/2 WARP  (  )
  51.  
  52.             ---------------------------------------------------------------
  53.  
  54.             COMMENTS:
  55.  
  56.