home *** CD-ROM | disk | FTP | other *** search
/ Night Owl 6 / Night Owl's Shareware - PDSI-006 - Night Owl Corp (1990).iso / 028a / ezcode10.zip / REGISTER.FRM < prev   
Text File  |  1992-02-03  |  939b  |  25 lines
  1.                          EZ CO*DE REGISTRATION FORM
  2.                               USEFULL CONCEPTS
  3.                             1303 B CARLISLE DRIVE
  4.                           SAN MATEO, CA. 94302-7056
  5.  
  6.                      Version you are registering __________
  7.  
  8.  
  9.   NAME _____________________________    QUANTITY REGISTERED    ______________
  10.  
  11.   COMPANY __________________________    AMOUNT AT $25.00 EACH  ______________
  12.  
  13.   ADDRESS __________________________    APPLICABLE SALES TAX   ______________
  14.  
  15.   CITY _____________________________    TOTAL ENCLOSED         ______________
  16.  
  17.   STATE ________ ZIP _______________    CA. RESIDENTS PLEASE ADD 8% STATE TAX.
  18.  
  19.   DATE ________ PHONE ______________    CHECK IN U.S. FUNDS. THANK YOU.
  20.  
  21.   To be displayed in registered copy (check one):  __NAME  __COMPANY     
  22.        
  23.        PLEASE BE SURE TO READ THE WARRANTY STATEMENT BEFORE REGISTERING.
  24.                           
  25.