home *** CD-ROM | disk | FTP | other *** search
/ DP Tool Club 24 / CD_ASCQ_24_0995.iso / vrac / aucton11.zip / REGISTER.FRM < prev    next >
Text File  |  1995-07-24  |  3KB  |  77 lines
  1.                                 CORAL SOFTWARE
  2.                                Registration Form
  3.             Support BBS  ■  The Coral Reef (517) 894-0729  ■  3 Nodes
  4.  
  5.  
  6. Please fill in the following information.  Currently, the postal system is our
  7. only method of receiving your registration.  A VISA/MASTERCARD charge door is
  8. being setup for future registrations.  We accept checks and money orders.
  9. Please do NOT send cash.
  10.  
  11.  
  12. FULL NAME: __________________________________________   DATE: _______________
  13.             (First & Last as it appears in Makewild)
  14.  
  15. ADDRESS: __________________________________________________   APT. #: _______
  16.                    
  17. CITY: ____________________________   STATE: ____________  ZIP CODE: _________
  18.  
  19. TELEPHONE: _(     )____________________
  20.  
  21.  
  22. NAME OF YOUR BBS: _____________________________________________
  23.  
  24. MAIN PHONE NUMBER: _(     )____________________   MULTI-NODE: (Y/N) _______
  25.                   
  26.  
  27. PRODUCT LIST:      Place an "X" by the programs you wish to register.
  28.                                                               
  29.    [  ] The Stock Exchange.......$15    [  ] Auction Online...........$10
  30.    
  31.  
  32. DELIVERY METHOD:    Place an "X" by the delivery method you prefer.
  33.                                                               
  34.     [  ] Mail my registration number to the address listed above.
  35.           
  36.     [  ] Place my registration number in a message to me on The Coral Reef
  37.          and I will call to receive it.
  38.          
  39.           * PASSWORD TO USE ON THE CORAL REEF: ________________
  40.  
  41.     [  ] Mail my registration number and a diskette with the latest versions
  42.          of all Coral Software products to the address above.
  43.           (Please add $2 Shipping/Handling to Order Total)
  44.  
  45.  
  46.                                                  Order Total: ___________
  47.                                                       
  48.                                                       S & H : ___________
  49.                                                  
  50.                                                  Grand Total: ___________
  51.  
  52.  
  53.                                 CORAL SOFTWARE
  54.                                Registration Form
  55.             Support BBS  ■  The Coral Reef (517) 894-0729  ■  3 Nodes
  56.  
  57.  
  58. INFORMATION:
  59.  
  60. All orders are processed immediately from the time we receive your payment
  61. and registration form.  If you choose to have the registration number mailed
  62. to you then please allow 3-5 days for delivery.  Should you choose to call our
  63. BBS, The Coral Reef, your registration number will be placed in a message to
  64. you within 24 hours of receipt of your registration form.  Try calling our
  65. system approximately 3 days after you mail the form.
  66.  
  67.     MAKE CHECKS/MONEY ORDERS PAYABLE TO:  Scott Bradbury           
  68.     
  69.     MAIL PAYMENT AND REGISTRATION TO:  Scott Bradbury
  70.                                        c/o - The Coral Reef
  71.                                        1808 N. Golfview Drive  Apt. #6
  72.                                        Essexville, Michigan  48732
  73.  
  74.  
  75.                            
  76.                            THANK YOU FOR YOUR ORDER!
  77.