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Text File  |  1991-09-17  |  2KB  |  55 lines

  1.  
  2.                        NICE-N-EZ REGISTRATION FORM
  3.  
  4.                         
  5.  
  6.       Digital Manufacturing Systems                    Ph: 501-925-3666
  7.       P.O. Box 1079                                   Fax: 501-925-3666
  8.       Rogers, AR   72757
  9.  
  10.        ___ I am enclosing $20 to become a registered user of NICE-N-EZ.
  11.            Please send me the latest version of NICE-N-EZ software and the
  12.            EZHELP compiler.
  13.  
  14.            Customers outside the USA must add $5 for Shipping & Handling.
  15.  
  16.            Disk Type:______5.25"     _______3.5"
  17.  
  18.  
  19.       Form of payment: __Cash  __Check  __Money Order  __Visa __Master Card
  20.  
  21.       Card Number:__________________________________ Exp Date:_____________
  22.       Print name
  23.       as on card:__________________________ Signature:_____________________
  24.  
  25.              **** ALL PAYMENTS MUST BE MADE IN USA FUNDS ****
  26.  
  27.              
  28.  
  29.           NAME:_______________________________ Phone: __________________
  30.  
  31.        COMPANY:_______________________________________ TITLE:___________
  32.  
  33.        ADDRESS:_________________________________________________________
  34.  
  35.        ADDRESS: ________________________________________________________
  36.  
  37.           CITY: ____________________________ STATE:_____ ZIP: __________
  38.  
  39.        COUNTRY: ________________________________________________________
  40.  
  41.  
  42.      From where did you learn of NICE-N-EZ?_____________________________
  43.      
  44.      In which programming languages would you like to have a help file?
  45.  
  46.      __________________________________________________________________
  47.      
  48.  
  49.      Do you own a Modem or plan to purchase one soon? ____Yes ____No
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