ENVED Environment Editor for DOS Version 1.0 Registration Form To register your copy of ENVED, fill out the following form (PLEASE PRINT) and mail it to the address shown below. Enclose a check or money order for the cost of the number of licenses purchased (at $5.95 per license), plus $1.00 shipping and handling, payable to: Paul M. Parks 806 Club Place Duluth, Georgia 30136-5013 Please make all payment in U.S. funds only. Name: __________________________________________________________ Company: __________________________________________________________ Address: __________________________________________________________ __________________________________________________________ City: __________________________________________________________ State/Province: ___________________________ ZIP/Postal Code: ____________ Country: __________________________________________________________ Phone# Day: ______________________ Evening: _________________________ E-Mail Address: __________________________________________________________ # of Licenses: ___________ @ $5.95 per license for total of $____________ plus shipping and handling charge of $________1.00 Georgia Residents add 5% sales tax of $____________ TOTAL $____________ Medium (please check one) 3.5" floppy (1.44MB): _____ (720KB): _____ 5.25" floppy (1.2MB): _____ (360KB): _____ Please enclose any comments or suggestions, and thank you for buying ENVED.