home *** CD-ROM | disk | FTP | other *** search
/ Simtel MSDOS - Coast to Coast / simteldosarchivecoasttocoast2.iso / windows3 / meged208.zip / REG_FORM.TXT < prev    next >
Text File  |  1993-11-19  |  3KB  |  54 lines
  1. PRODUCT REGISTRATION FORM 
  2. Mega Edit (TM) Version 2.08     Name:  _________________________________
  3. (REG_FORM.TXT)
  4.                      Company/Address:  _________________________________
  5.  
  6.                                        _________________________________
  7.  
  8.                                        _________________________________
  9.  
  10.                Your Telephone Number:  _________________________________
  11.                                        (include area/country code)
  12.  
  13.                Disk Media, check one:  [ ] 5.25"  [ ] 3.5"
  14.  
  15.                         Date Ordered:  Month ________  Day _____  Year ______
  16.  
  17. Registration Name (Capitalization and Punctuation will be exactly as listed)
  18. -----------------
  19.                 Your Name (required):  _________________________________
  20.  
  21.         Company/Org. Name (optional):  _________________________________
  22.  
  23. Credit Card Orders      Please Check:  [ ] MasterCard  [ ] Visa  [ ] JCB
  24. ------------------                     [ ] American Express  [ ] Discover 
  25.                                        [ ] Carte Blanche  [ ] Diners Club
  26.                   
  27.                   Credit Card Number:  _________________________________
  28.                      
  29.                      Expiration Date:  Month ________  Year ______
  30.  
  31.               Cardholder's Signature:  _________________________________
  32.              (for Mail or Fax orders)
  33.  
  34. Price Calculation   Registration Fee:  $35.50
  35. -----------------
  36.     Kentucky residents add Sales Tax:  ___________
  37.                                                     $3.50 Unites States
  38.                Shipping and Handling:  ___________  $5.00 Canada & Mexico
  39.                                                     $9.00 Other countries
  40.                           Total Cost:  ___________
  41.  
  42. Checks or Money orders:  Make payable in U.S. currency on a U.S. bank. 
  43. Credit card payments may be sent via mail, E-Mail, FAX, or telephone.
  44.  
  45.    Computer Witchcraft, Inc.            Internet:   megaedit@witchcraft.com
  46.    P.O. Box 4189                        CompuServe: 76130,1463
  47.    Louisville, KY 40204                 Fax:        (502) 589-7300
  48.    U.S.A.                               Telephone:  (502) 589-6800
  49.  
  50. How did you receive your copy of Mega Edit (TM)?    -- Thanks!
  51. ------------------------------------------------
  52. [ ] CompuServe  [ ] BIX  [ ] Genie  [ ] AOL  [ ] Other BBS __________________
  53. [ ] Catalog ______________________  [ ] Other _______________________________
  54.