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Text File  |  1990-12-21  |  3KB  |  61 lines
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  6.                                              CONTACT 3.21
  7.             
  8.                                     USER REGISTRATION/COMMENT FORM
  9.             
  10.             
  11.             USER IDENTIFICATION (Please type or print)
  12.             
  13.             Full Name: ______________________________________________  Date: _____________
  14.             
  15.             Organization: ______________________________________  Dept.: _________________
  16.             
  17.             Street/Box Address: __________________________________________________________
  18.             
  19.             City: ________________________  State/Province: _____  Postal Code: __________
  20.             
  21.             Telephone:  Home - (______)_________________  Work - (______)_________________
  22.             
  23.             
  24.             SYSTEM CONFIGURATION
  25.             
  26.             Computer Brand and Model: ____________________________________________________
  27.             
  28.                      Configuration: ______________________________________________________
  29.             
  30.             MS-DOS Version: __________  IBM PC Emulator and Version: _____________________
  31.             
  32.             Printer Brand and Model: _____________________________________________________
  33.             
  34.             
  35.             PLEASE COMPLETE THE APPROPRIATE SECTION(S) BELOW
  36.             
  37.             1.  REGISTRATION
  38.             
  39.             Please register me as a legal user of CONTACT.  My payment of $_______________
  40.             ($10.00 minimum) is enclosed.  I understand that registered users are entitled
  41.             to software support and notification of new releases.
  42.             
  43.             Checks or money orders should be made payable to "Orion E. Hill."
  44.             
  45.             2.  SUGGESTIONS, QUESTIONS, PROBLEMS, AND/OR OTHER COMMENTS
  46.             
  47.             Please describe in as much detail as possible.  Use the other side of this form
  48.             and/or attach additional sheets as necessary.
  49.             
  50.             ______________________________________________________________________________
  51.             
  52.             ______________________________________________________________________________
  53.             
  54.             ______________________________________________________________________________
  55.             ==============================================================================
  56.             
  57.             Please mail this form to:  Orion E. Hill
  58.                                        361 Pickwick Drive
  59.                                        Napa, California 94558-6101
  60.             
  61.