home *** CD-ROM | disk | FTP | other *** search
/ Phoenix CD 2.0 / Phoenix_CD.cdr / 15a / nav11.zip / REGISTER.NAV < prev   
Text File  |  1989-05-31  |  1KB  |  58 lines
  1.  
  2.  
  3.  
  4.                          Registration Form - Navstar 1.1
  5.  
  6.           Remit to:         Christopher R.S. Schanck
  7.                                 364 W. Lane Ave.                 
  8.                                Columbus, OH 43201
  9.  
  10.                             Work Phone: 814-421-7051
  11.  
  12.                             Navstar 1.1   April 1989
  13.  
  14.           Navstar Registration .............. @ $ 30.00 each  $ _____
  15.  
  16.                   Disk size, circle one: (   3.5"   /   5.25"   )
  17.  
  18.           Navstar printed Documentation ..... @ $ 15.00 each  $ _____
  19.  
  20.                                                     Subtotal  $ _____
  21.  
  22.           Overseas shipping ................. @ $ 10.00/item  $ _____
  23.  
  24.                                             Total (U.S.Funds) $ _____
  25.               
  26.           Name: _____________________________________________________
  27.  
  28.           Company: __________________________________________________
  29.  
  30.           Address: __________________________________________________
  31.  
  32.           ___________________________________________________________
  33.  
  34.           ___________________________________________________________
  35.  
  36.           Day Phone: _________________________ 
  37.  
  38.           Eve: _______________________________
  39.  
  40.  
  41.                     Prices subject to change without notice.
  42.  
  43.  
  44.  
  45.  
  46.  
  47.  
  48.  
  49.  
  50.  
  51.  
  52.  
  53.  
  54.  
  55.  
  56.  
  57.  
  58.