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Text File  |  1996-02-08  |  1KB  |  42 lines
  1.  
  2.                                                                                                                                                              AmortView Registration Form
  3.  
  4.  
  5. CAN$19.95 per Single User License x_____# of copies =_____ Total
  6.  
  7.  
  8.  
  9. First Name:_____________Middle Initial:____ Last Name:____________________
  10.  
  11. Title:________________________Company: ____________________________
  12.  
  13. Address: _________________________________________________________
  14.  
  15. City:_________________________State/Province:________________________
  16.  
  17. Zip/Postal Code:________________Country:_____________________________
  18.  
  19. Phone: _______________________Fax:_________________________
  20.  
  21. Internet email address(es):________________________
  22.  
  23.                                                                                                                                                                                               ________________________
  24.  
  25. Would you prefer to receive your password via EMAIL  or  SNAILMAIL? (circle one)
  26.  
  27. Macintosh Model:__________System Version:___________
  28.  
  29. Date:___________________
  30.  
  31. Do you want update notice by email? YES / NO
  32.  
  33. Please make cheque or money order out to Wayne Kelso. PLEASE DO NOT SEND CASH IN THE MAIL
  34.  
  35. Mailing address:
  36. 2716 Inlake Court
  37. Mississauga, ON
  38. Canada
  39. L5N 2A5
  40.  
  41. Thank-you for your support!
  42. Wayne Kelso