home *** CD-ROM | disk | FTP | other *** search
/ Electronic Bookshelf / Electronic Bookshelf.iso / referen / homemain / register.doc < prev    next >
Text File  |  1992-07-16  |  1KB  |  62 lines
  1.  
  2.                            Red's Home Maintenance Program
  3.                           Copyright (C) 1992 By Red Poteet
  4.                                 All rights reserved
  5.  
  6.  
  7.                                 Registration Form
  8.  
  9.  
  10.       Name:          ______________________________________
  11.  
  12.       Address:       ______________________________________
  13.  
  14.                      ______________________________________
  15.  
  16.       City:          ______________________________________
  17.  
  18.       State:         __________________________ Zip: ______
  19.  
  20.       Telephone:     ______________________________________
  21.  
  22.       Computer:      ______________________________________
  23.  
  24.  
  25.  
  26.  
  27.  
  28.  
  29.  
  30.       Preferred Disk Size:    3.5"(720k) ______   5.25"(360k) ______
  31.  
  32.  
  33.  
  34.  
  35.                  Payment in U.S. funds drawn on a U.S. bank only
  36.  
  37.  
  38.      Mail Completed Form with $15.00 check/money order in U.S. dollars to:
  39.  
  40.  
  41.                                    Red Poteet
  42.                                   P.O. Box 548
  43.                             587 F N. Ventu Park Road
  44.                             Newbury Park,  CA. 91320
  45.  
  46.  
  47.  
  48.  
  49.  
  50.  
  51.  
  52.  
  53.  
  54.  
  55.  
  56.  
  57.  
  58.  
  59.  
  60.  
  61.  
  62.