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/ JCSM Shareware Collection 1995 September / JCSM Shareware Collection (September 30th 1995 Author to Vendor Edition) (JCS Distribution).ISO / homepers / 10260a01.ziv / CB55SFX.EXE / REGISTER.DOC < prev    next >
Text File  |  1993-12-01  |  2KB  |  54 lines
  1.  
  2.  
  3.  
  4.                R E G I S T R A T I O N    F O R M
  5.  
  6.  
  7.  
  8. DATE:                    _________________________________________
  9.  
  10. YOUR NAME:               _________________________________________
  11.  
  12. COMPANY NAME:            _________________________________________
  13.  
  14. STREET ADDRESS:          _________________________________________
  15.  
  16. CITY, STATE, ZIP CODE:   _________________________________________
  17.  
  18. PHONE NUMBER:            _________________________________________
  19.  
  20. COMPUTER BRAND AND MODEL:_________________________________________
  21.  
  22. DISKETTE SIZE (Check One)  3.5 inch [ ]     -or-    5.25 Inch [ ]
  23.  
  24. Do you presently use CheckBook versions 3.0 or 4.0? _____________
  25.  
  26. Please Indicate the source of your shareware disk: ______________
  27.  
  28. _________________________________________________________________
  29.                                                             U.S.
  30.                     DESCRIPTION                           DOLLARS
  31. --------------------------------------------------        -------
  32. Latest Version of CheckBook Plus                           $24.95
  33. Printed User's Guide and Reference Manual                    0.00
  34. Software Updates For One Year                                0.00
  35. Letter or Phone Support                                      0.00 
  36. Database File Compression Utility (ISAMPACK.EXE)             0.00
  37. Shipping & Handling Charge                                   5.00
  38.                                                           -------
  39.     Total                                                  $29.95
  40.                                                           =======
  41.  
  42. Make check payable to: Beshears Software Associates
  43.  
  44. Mail Registration Form and Payment to:
  45.  
  46.                   Beshears Software Associates
  47.                         5710 Rita Street
  48.                       Southside, AL  35903 
  49.                       
  50. Your comments and suggestions are important to us.  Please use
  51. the reverse side of this form.
  52.  
  53. cb+55
  54.