home *** CD-ROM | disk | FTP | other *** search
/ Night Owl 6 / Night Owl's Shareware - PDSI-006 - Night Owl Corp (1990).iso / 001a / pcfd_104.zip / REGISTER.FRM < prev    next >
Text File  |  1992-01-22  |  2KB  |  57 lines
  1.  
  2.  
  3.  
  4.        Form                   PCFDIAL REGISTRATION                 10402
  5.  
  6.  
  7.        Make checks payable to:                         (U.S. funds only)
  8.                                Barn Owl Software
  9.                                   P.O. Box 74
  10.                               O'Fallon, IL  62269
  11.                                VOX: 618-632-7345
  12.                                FAX: 618-632-0023
  13.  
  14.  
  15.  
  16.        or call the Public (software) Library tollfree and use your Visa,
  17.        MasterCard, Optima, or American Express card:
  18.  
  19.                 (800) 2424-PSL   (ORDERS ONLY)
  20.                 (713) 524-6394   (orders & inquiries)
  21.  
  22.  
  23.  
  24.        Registration w/ manual   Qty:_______     @  $19.00     $_________
  25.  
  26.                        Illinois residents add 6.5% sales tax  $_________
  27.  
  28.                          Overseas orders add $3 for shipping  $_________
  29.  
  30.                                                        TOTAL  $_________
  31.  
  32.  
  33.  
  34.        Volume discounts available  if you purchase three or more copies.
  35.        See the SITELIC.DOC file included with PCFDial for details.
  36.  
  37.  
  38.  
  39.        Name:    _____________________________________  Date: ___________
  40.  
  41.        Company: ________________________________________________________
  42.  
  43.        Address: ________________________________________________________
  44.  
  45.                 ________________________________________________________
  46.  
  47.  
  48.  
  49.  
  50.        If paying by credit card:        MasterCard ____     or Visa ____
  51.  
  52.        Card Nmbr: _______________________________   Expires: ___________
  53.  
  54.        Signature: __________________________________   Date: ___________
  55.  
  56.        Day phone: _______________________________
  57.