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/ Gold Medal Software 4 / Gold Medal Software - Volume 4 (Gold Medal) (1994).iso / os2 / pmsndx10.arj / ORDER.TXT < prev    next >
Text File  |  1994-08-20  |  2KB  |  57 lines
  1.  
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  7.                                   REGISTRATION FORM
  8.  
  9.           MAKE ANY REGISTRATION CHECK PAYABLE TO:
  10.                               William S. Hiles
  11.  
  12.             (USERS OUTSIDE THE US: Please send checks drawn on US
  13.             banks in US dollars.)
  14.  
  15.           Send to:            WiSHware Inc.
  16.                               Attn. William S. Hiles
  17.                               4421 Savannah St.
  18.                               King George, VA 22485
  19.  
  20.           Credit card registrations are not accepted at this time.
  21.  
  22.           ____ PMsndX registration of one verion. @ $ 15.00 ea  $ ______
  23.                (does not include a disk)
  24.  
  25.           ____ PMsndX registration up to the..... @ $ 30.00 ea  $ ______
  26.                next major release
  27.                (does not include a disk)
  28.  
  29.           ____ Lifetime PMsndX registration...... @ $ 50.00 ea  $ ______
  30.                (does not include a disk)
  31.  
  32.                                                       Subtotal  $ ______
  33.  
  34.           ____ Shipping, Packaging, Diskettes ... @ $ 3.00 ea   $ ______
  35.                (for disk version only)
  36.  
  37.                                                           Total $ ______
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  40.  
  41.           Registered user information:
  42.  
  43.                Name:   __________________________________________________
  44.  
  45.             Address:   __________________________________________________
  46.  
  47.                    :   __________________________________________________
  48.  
  49.             Country:   __________________________________________________
  50.  
  51.             Signature: ____________________________________ Date_________
  52.  
  53.             EMAIL:     __________________________________________________
  54.  
  55.             Phone:     __________________________________________________
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