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Text File  |  1991-08-17  |  4KB  |  67 lines
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  4. ╔═════════════════════════════════════════════════════════════╗
  5. ║                                                             ║
  6. ║                                                             ║
  7. ║    SHAREWARE REGISTRATION FORM                              ║
  8. ║    -----------------------------------------------------    ║
  9. ║                                                             ║
  10. ║                 ╔════════════════════════╗                  ║
  11. ║                 ║                        ║                  ║
  12. ║    MAIL TO :    ║     DLM Consulting     ║                  ║
  13. ║                 ║     P O Box 867452     ║                  ║
  14. ║                 ║     Plano TX 75086     ║                  ║
  15. ║                 ║                        ║                  ║
  16. ║                 ╚════════════════════════╝                  ║
  17. ║                                                             ║
  18. ║    DESCRIPTION                                     PRICE    ║
  19. ║    -----------------------------------------------------    ║
  20. ║                                                             ║
  21. ║    Relational Stock Analyzer Registration        $ 45.00    ║
  22. ║      Includes technical support and                         ║
  23. ║      bulletin board access for future                       ║
  24. ║      shareware releases.                                    ║
  25. ║                                                             ║
  26. ║    Add $3.00 if you want diskettes to be    S&H  $ _____    ║
  27. ║      mailed rather than downloading from                    ║
  28. ║      the bulletin board.                                    ║
  29. ║                                                             ║
  30. ║    Add $3.00 for printed documentation:     Doc  $ _____    ║
  31. ║                                                             ║
  32. ║    Texas residents add State Sales Tax:     Tax  $ _____    ║
  33. ║                                                             ║
  34. ║    Total                                  Total: $ _____    ║
  35. ║                                                             ║
  36. ║                                                             ║
  37. ║    Please make checks payable to:         DLM Consulting    ║
  38. ║                                                             ║
  39. ║                                                             ║
  40. ║    Name : ______________________________________________    ║
  41. ║                                                             ║
  42. ║    Address: ____________________________________________    ║
  43. ║                                                             ║
  44. ║    City/State/Zip: _____________________________________    ║
  45. ║                                                             ║
  46. ║                                                             ║
  47. ║    The following information may be ommitted if desired.    ║
  48. ║                                                             ║
  49. ║    Diskette Type (360K/720K) : _________________________    ║
  50. ║    Phone Number              : _________________________    ║
  51. ║    GEnie ID                  : _________________________    ║
  52. ║    Prodigy ID                : _________________________    ║
  53. ║    CompuServe ID             : _________________________    ║
  54. ║    America Online ID         : _________________________    ║
  55. ║    PC type/speed (286/12 etc): _________________________    ║
  56. ║    Monitor type (VGA, etc)   : _________________________    ║
  57. ║    Referred by               : _________________________    ║
  58. ║                                                             ║
  59. ║                                                             ║
  60. ╚═════════════════════════════════════════════════════════════╝
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