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Text File  |  1996-05-14  |  2KB  |  52 lines
  1.    ==================================================================
  2.               WebExplorer Organizer V1.x registration form         
  3.       WebExplorer Organizer is Copyright (c) 1996 by ONG SoftWare.  
  4.                           All Rights Reserved.                         
  5.    ==================================================================
  6.  
  7.    Note: Each registration of WebExplorer Organizer comes with only
  8.      one license for WebExplorer Organizer.
  9.  
  10.    Note: Multiple copies require one user name for every copy order.
  11.  
  12.                 Mail Orders To: Andrew A. Phillips
  13.                                 527 Richmond Hill Road West
  14.                 Apt. M-4
  15.                 Augusta, Ga. 30906
  16.  
  17.      Make Personal Check or Money Order payable to: Andrew Phillips
  18.  
  19.      Personal checks are subject to clearance.
  20.  
  21.  
  22.         Name: ____________________________________________________________
  23.  
  24.      Company: ____________________________________________________________
  25.  
  26.      Address: ____________________________________________________________
  27.  
  28.               ____________________________________________________________
  29.  
  30.         City: _______________________   State/Province: __________________
  31.  
  32.      Country: ____________________________ Postal Code: __________________
  33.  
  34.        Phone: ____________________________________________________________
  35.  
  36.          Fax: ____________________________________________________________
  37.  
  38.        Email: ____________________________________________________________
  39.  
  40.  
  41.      Product                           Price        Quantity   Total
  42.      --------------------------------------------------------------------
  43.                   ( Funds below specified in US dollars )
  44.  
  45.      _WebExplorer Organizer V1.x_____  $_15.00__ x  ________ =  $____.___
  46.  
  47.                                                         Total:  $____.___
  48.  
  49.      Shipping (check one):
  50.  
  51.                ___ Email
  52.                ___ 1st Class Mail