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Text File  |  1993-09-19  |  1KB  |  48 lines
  1.  
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  3.  
  4. REGISTRATION FORM
  5. =================
  6.  
  7. DeQueen Software
  8. 616 W. DeQueen Ave.
  9. DeQueen, AR 71832
  10.  
  11. I wish to register ____ copy(copies) of the Shareware edition of THREE-O.
  12.  
  13. I prefer buying ____ copy(copies) of the Super THREE-O version.
  14.  
  15. Name:_______________________________ Occupation:______________________
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  17. Address:____________________________ Tel(Optional):_____-_____-________
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  19. City:______________________________________ State:______ Zip:__________
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  21. Age(Optional):_____ School and grade:__________________________________
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  23. I have obtained THREE-O from___________________________________________
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  25. _______________________________________________________________________
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  28. _______ Registered Copies of the Shareware edition of THREE-O @ $18.00.*
  29.  
  30. _______ copies of Super THREE-O @ $25.00.*
  31.  
  32. Price includes First Class U.S. Mail to USA, Canada, or Europe.
  33.  
  34. Residents of Arkansas add applicable sales tax or permit number.
  35.  
  36. I am including a check/MO for $_______.00 
  37.  
  38. If you wish to have your copy(ies) personalized, please show
  39.  
  40. text to be used in this space.
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  47. *Call 501-642-8947 for school/student discount.
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