home *** CD-ROM | disk | FTP | other *** search
/ Night Owl 6 / Night Owl's Shareware - PDSI-006 - Night Owl Corp (1990).iso / 050a / ciphwn10.zip / ORDERFRM.TXT < prev    next >
Text File  |  1991-10-02  |  4KB  |  72 lines
  1.   INSTANT REGISTRATION FORM
  2.   Just copy this file to your printer, fold, tape, and mail.
  3.   See the file CIPHERWN.TXT for program descriptions.
  4.  
  5.    Quantity  Description                   Price Total
  6.   +--------+------------------------------+-----+-----+   Cipher for Windows
  7.   |        | "Deluxe" Cipher for Windows  | $22 |     |   v1.0 was acquired
  8.   +--------+------------------------------+-----+-----+   from:
  9.   |        | Cipher for Windows           | $15 |     |
  10.   +--------+------------------------------+-----+-----+    [ ] Cloud 9 BBS
  11.   |        | Cipher puzzle collections:   | $5  |     |    [ ] friend
  12.   |        | 3 available with over 200    | per |     |    [ ] free BBS
  13.   |        | puzzles per disk             | disk|     |    [ ] pay BBS
  14.   +--------+------------------------------+-----+-----+    [ ] disk vendor
  15.   |        | "Deluxe" EGATrek             | $22 |     |    [ ] user group
  16.   +--------+------------------------------+-----+-----+    [ ] other
  17.   |        | EGATrek                      | $15 |     |
  18.   +--------+------------------------------+-----+-----+   Name of vendor,
  19.   |        | "Deluxe" Mah Jongg           | $22 |     |   BBS, etc.:
  20.   +--------+------------------------------+-----+-----+
  21.   |        | Mah Jongg                    | $15 |     |   __________________
  22.   +--------+------------------------------+-----+-----+
  23.   |        | additional Mah Jongg tiles   | $5  |     |   SEND TO:
  24.   +--------+------------------------------+-----+-----+    Nels Anderson
  25.   |        | "Deluxe" Shooting Gallery    | $22 |     |    92 Bishop Drive
  26.   +--------+------------------------------+-----+-----+    Framingham, MA
  27.   |        | Shooting Gallery             | $15 |     |    01701  U.S.A.
  28.   +--------+------------------------------+-----+-----+
  29.   |        | "Deluxe" SuperFly            | $22 |     |   SHIPPING:  $2 for
  30.   +--------+------------------------------+-----+-----+   any number of non-
  31.   |        | SuperFly                     | $15 |     |   deluxe programs.
  32.   +--------+------------------------------+-----+-----+   $4 for deluxe ver-
  33.   |        | BassMap                      | $10 |     |   sions and shipping
  34.   +--------+------------------------------+-----+-----+   outside of North
  35.   |        | Charge for each 3.5" disk    | $2  |     |   America.
  36.   +--------+------------------------------+-----+-----+       |
  37.             SHIPPING/HANDLING @ $2 OR $4  |$2/$4|     | <-----+
  38.                                           +-----+-----+
  39.   Minimum credit card order: $15          TOTAL |     |
  40.   Make checks payable to: Nels Anderson         +-----+
  41.  
  42.   Disk Size:  ___ 5.25"  ___ 3.5" (add $2 extra for each 3.5" disk ordered)
  43.                                                     ^^^^ 
  44.   Payment:  _____ Check (U.S. funds only)   ______ VISA   ______ MasterCard
  45.  
  46.   Card Number:  ______ ______ ______ ______  Expiration Date:  ____________
  47.  
  48.   Signature:  _________________________ (credit card orders must be signed)
  49.  
  50.   Name:  __________________________________________________________________
  51.  
  52.   Address:  _______________________________________________________________
  53.  
  54.   City/State/Zip:  ________________________________________________________
  55.  
  56.   Comments, suggestions:
  57.  
  58.  
  59.   Cipher for Windows v1.0
  60.                                                                   +-----+
  61.                                                                   |Place|
  62.                                                                   |Stamp|
  63.                                                                   |Here!|
  64.                                                                   +-----+
  65.  
  66.  
  67.                               Nels Anderson
  68.                               92 Bishop Drive
  69.                               Framingham, MA 01701-6515
  70.                               U.S.A.
  71.  
  72.