home *** CD-ROM | disk | FTP | other *** search
/ Night Owl 6 / Night Owl's Shareware - PDSI-006 - Night Owl Corp (1990).iso / 024a / tc903.zip / FORM.DOC < prev    next >
Text File  |  1991-11-01  |  5KB  |  64 lines

  1. +----------------------------------------------------------------------+
  2. |                                                                      |
  3. |                 Registration Form TurboCALC v9.03                    |
  4. |                                                                      |
  5. |   Date: __________                  TO:  P&M Software Co.            |
  6. |                                          3104 E. Camelback #503      |
  7. |                                          Phoenix, AZ 85016           |
  8. |                                                                      |
  9. |                                          Voice: (602) 897-9557       |
  10. |                                          Modem: (602) 897-9549       |
  11. |                                                                      |
  12. |   FROM:     Name: ________________________________________           |
  13. |                                                                      |
  14. |          Address: ________________________________________           |
  15. |                                                                      |
  16. |                   ________________________________________           |
  17. |                                                                      |
  18. |                   ________________________________________           |
  19. |                                                                      |
  20. |           Phone # (_____)_______________________                     |
  21. |                                                                      |
  22. |                                                                      |
  23. |   Check One:                                                         |
  24. |                                                                      |
  25. |   ____ Initial registration of "TurboCALC" (suggest $30).            |
  26. |        NOTE: initial registration includes an upgrade to current     |
  27. |              version.                                                |
  28. |                                                                      |
  29. |   ____ Upgrade to current version of "TurboCALC" (suggest $10).      |
  30. |        If you are a registered user, you can use this option to      |
  31. |        obtain an officially registered copy.                         |
  32. |                                                                      |
  33. |   PLEASE INDICATE SERIAL # AND VERSION OF PROGRAM YOU HAVE:          |
  34. |                                                                      |
  35. |             Serial # __________      Version # _______               |
  36. |                                                                      |
  37. |   PLEASE INDICATE AMOUNT ENCLOSED:                                   |
  38. |                                                                      |
  39. |             Contribution Amount, $30 ........ __________             |
  40. |                                                                      |
  41. |             Overseas Postage -AIR MAIL $4 ... __________             |
  42. |                                                                      |
  43. |             3.5" Diskettes, $3 .............. __________             |
  44. |                                                                      |
  45. |             Total Enclosed .................. __________             |
  46. |                                                                      |
  47. |   PLEASE INDICATE METHOD OF PAYMENT:                                 |
  48. |                                                                      |
  49. |       If using major bank card, please indicate your card no.,       |
  50. |       expiration date and Interbank ID Number.                       |
  51. |                                                                      |
  52. |   ___ MasterCard (r)   Interbank ID #  ______________                |
  53. |   ___ Visa                                                           |
  54. |   ___ Check            Credit Card No. ___________________________   |
  55. |   ___ Money Order                                                    |
  56. |                        Expiration Date ______________                |
  57. |                                                                      |
  58. |   Signature for Credit Card ______________________________________   |
  59. |                                                                      |
  60. |                                                                      |
  61. |   Please DO NOT send cash.  Send check, money order, or credit card  |
  62. |   information.  Your request will be filled promptly upon receipt.   |
  63. +----------------------------------------------------------------------+
  64.