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Text File  |  1996-04-01  |  2KB  |  41 lines
  1.  
  2.                    .....   Software Registration Form  .....
  3.  
  4.                                RiverBend SoftWare
  5.                                   P.O. Box 81
  6.                           Robinsonville, MS 38664 USA
  7.  
  8.      -===================================================================-
  9.  
  10.      ____ GolfStat Registration(s)  @ $19.95 each ..........   ______.____
  11.      ____ GolfCap Registration(s)   @ $22.95 each ..........   ______.____
  12.      ____ GolfLog Registration(s)   @ $32.95 each ..........   ______.____
  13.      ____ GolfTeam Registration(s)  @ $59.95 each ..........   ______.____
  14.      ____ GolfTour Registration(s)  @ $98.95 each ..........   ______.____
  15.      ____ GolfClub Registration(s)  @ $149.95 each .........   ______.____
  16.  
  17.      ____ Shipping/Handling inside U.S.A. ($5.00/copy) .....   ______.____
  18.      ____ Shipping/Handling outside U.S.A. ($7.50/copy) ....   ______.____
  19.  
  20.      ____ Mississippi residents (6.5% Tax per copy) ........   ______.____
  21.  
  22.           TOTAL ...........................(US Dollars)..... $ ______.____
  23.  
  24.  
  25.          ** Orders without S/H charges included will not be shipped! **
  26.  
  27.  
  28.                     Paying by:  [ ] Check   [ ] Money Order
  29.  
  30.  
  31.         Name: ____________________________________________________________
  32.                (Individual/Club/Group the software is to be registered to)
  33.  
  34.      Ship To: ____________________________________________________________
  35.  
  36.      Address: ____________________________________________________________
  37.  
  38.         City: __________________________ State/Prov: _____________________
  39.  
  40.      Country: __________________________ Zip/Postal Code: ________________
  41.