home *** CD-ROM | disk | FTP | other *** search
/ Cream of the Crop 11 / Cream of the Crop 11-1.iso / educate / smvga10e.zip / REGISTER.FRM < prev    next >
Text File  |  1995-12-18  |  2KB  |  66 lines

  1.  
  2.                Storymaker+ VGA Registration Form
  3.  
  4. Please make check payable to:
  5.     Elson Embry
  6.     145 Plaza Drive #471
  7.     Vallejo,  California  94591-3703
  8.  
  9. (Please print)
  10.  
  11. Disk size: (3.5 inch only)    720k _____ 1.44k _____
  12.  
  13. Name _______________________________________________
  14.  
  15. Address ____________________________________________
  16.  
  17. Address ____________________________________________
  18.  
  19. City ______________________________ State __________
  20.  
  21. Zip ____________
  22.  
  23. Telephone (______) ______________________
  24.  
  25. Registration fee is $26  per  copy  payable  in U.S.
  26. funds.  Checks from foreign  countries must be drawn
  27. against a U.S. bank.   California residents,  please
  28. add the applicable sales tax.
  29.  
  30. Please call or write for site licenses, quantity and
  31. school discounts.
  32.  
  33.      Number of Copies: ___ x $26                            $_________
  34.  
  35.      California residents only, 7 1/2 % sales tax:          $_________
  36.  
  37.      Handling Fee:                                          $________
  38.           United States, Canada, Mexico:  $ 3.00
  39.           Other countries:                $ 6.00
  40.  
  41.                                           Total:            $_________
  42.  
  43.  
  44. Computer Type:______________    Sound Device:________________________
  45.  
  46. Where did you obtain your copy of Storymaker+?
  47.  
  48.   [ ]  BBS name:     _________________________________________________
  49.  
  50.   [ ]  Vendor name:  _________________________________________________
  51.  
  52.   [ ]  Friend      [ ] Others ________________________________________
  53.  
  54.  
  55. Thank you for supporting shareware.  Comments, suggestions are welcome:
  56.  
  57. ______________________________________________________________________
  58.  
  59. ______________________________________________________________________
  60.  
  61. ______________________________________________________________________
  62.  
  63. ______________________________________________________________________
  64.  
  65.  
  66.