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Text File  |  1991-11-03  |  2KB  |  61 lines
  1.  
  2.  
  3.  
  4.                                      PCForm
  5.                                   Version 2.0
  6.                            Software Registration Form
  7.           ____________________________________________________________
  8.  
  9.  
  10.           CareWare
  11.           10217 Ridge View Dr.
  12.           Grass Valley, CA  95945                  Date: _____________
  13.  
  14.  
  15.           Count          Description               Amount       Total
  16.           -----          -----------               ------       -----
  17.  
  18.           _____ PCForm registration only         $25.00 ea   $ _______
  19.  
  20.           _____ PCForm registration and latest   $30.00 ea   $ _______
  21.                 version on disk (includes Find
  22.                 File Utility)
  23.  
  24.                 Disk size:  ( ) 5 1/4"  (360K)
  25.                             ( ) 3 1/2"  (720K)
  26.  
  27.                 Please add $4.00 for disk shipping
  28.                 outside of U.S.                              $ _______
  29.  
  30.  
  31.                                         Total submitted      $ _______
  32.  
  33.  
  34.           Name: ______________________________________________
  35.  
  36.           Address: ___________________________________________
  37.  
  38.                    ___________________________________________
  39.  
  40.                    ___________________________________________
  41.  
  42.           Phone: _____________________________________________
  43.  
  44.           Where did you find PCForm? _________________________
  45.  
  46.           ____________________________________________________
  47.  
  48.           Comments: __________________________________________
  49.  
  50.           ____________________________________________________
  51.  
  52.           ____________________________________________________
  53.  
  54.  
  55.           Please make payable to the author  -  R. J. Crouch
  56.  
  57.           ORDERS  OUTSIDE  OF  THE  U.S.  -  Please send international
  58.           money orders in U.S. dollars.
  59.  
  60.           Thank you for registering PCForm.
  61.