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Text File  |  1992-01-02  |  2KB  |  58 lines
  1.  
  2.  
  3.                                    REGISTRATION FORM
  4.  
  5.              I wish to purchase:
  6.  
  7.                (_) Single license for private use of FLASHCARD
  8.                    ( $10 -- includes 1 360K diskette)
  9.  
  10.                (_) Site License for use of FLASHCARD on ___ computers
  11.                                2 to  9   -   $8    each
  12.                               10 to 19   -   $6    each
  13.                               20 to 49   -   $4    each
  14.                               50 to 99   -   $3    each
  15.                               over  99   -   $300  one time fee
  16.  
  17.                (_) ___ Additional program diskettes of latest FLASHCARD
  18.                            ( $1 per 360K diskette)
  19.  
  20.                (_) Payment  $ ______  enclosed (check or money order).
  21.  
  22.  
  23.                  _______________________________________________
  24.                  Name
  25.  
  26.                  _______________________________________________
  27.  
  28.  
  29.                  _______________________________________________
  30.                  Address
  31.  
  32.                  ______________________   ________  ____________
  33.                  City                     State     Zip
  34.  
  35.  
  36.         Personal Note:
  37.  
  38.         ________________________________________________________________
  39.  
  40.         ________________________________________________________________
  41.  
  42.  
  43.              Send this completed form to:
  44.  
  45.                                   Ed Oliver
  46.                                   1203 Kingston Green Dr
  47.                                   Prattville, AL  36067
  48.  
  49.  
  50.              For program disk orders outside the U.S., please add an
  51.         additional $5, and enclose an international money order payable
  52.         in U.S. currency.
  53.  
  54.              For commercial site license orders, please enclose a signed
  55.         copy of the site license agreement.
  56.  
  57.  
  58.