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Text File  |  1995-06-23  |  2KB  |  47 lines
  1. =================[ REGISTRATION FORM FOR USA ORDERS ]========================
  2.  Please remit to:                                       techSOFT
  3.                                                         1001 Live Oak Ridge
  4.                                                         Austin, TX 78746-3525
  5. =============================================================================
  6.  Please support quality shareware by registration
  7. -----------------------------------------------------------------------------
  8.  
  9.  
  10.                        Slicks 'N' Slide
  11.                        ================
  12.                           ver 1.29
  13.  
  14.  
  15.   Name:    __________________________________       Age: ___
  16.  
  17.   Address: _________________________________________________
  18.            _________________________________________________
  19.            _________________________________________________
  20.            _________________________________________________
  21.  
  22.   Internet E-mail address (optional): ______________________
  23.  
  24.   Computer:  [ ] 286  [ ] 386  [ ] 486  [ ] Pentium      MHz: ___
  25.  
  26.   Modem: [ ]   Joystick: [ ]   SVGA: [ ]
  27.   
  28.   Sound card: Brand: _________________________________
  29.   
  30.   Where did you obtain Slicks? ____________________________________________
  31.  
  32.  
  33.   Registration fee:                   
  34.   ~~~~~~~~~~~~~~~~~
  35.    Item                                     Quan.   Price  Total
  36.   ┌────────────────────────────────────────┬───────┬──────┬─────────┐
  37.   │Slicks 'N' Slide (newest version)       │       │$15.00│         │
  38.   ├────────────────────────────────────────┼───────┼──────┼─────────┤
  39.   │TX residents 7.25% Tax                  │       │ $1.09│         │
  40.   │Shipping                                │   1   │ $1.50│         │
  41.   └────────────────────────────────────────┴───────┴──────┼─────────┤
  42.                                                     Total │$        │
  43.                                                           └─────────┘
  44.  
  45. Thanks for your support!
  46.  
  47.