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Text File  |  1993-06-17  |  2KB  |  54 lines
  1.  
  2.         -----------------------------------------------------------------
  3.                         R E G I S T R A T I O N   F O R M
  4.         -----------------------------------------------------------------
  5.  
  6.          Print and complete this form to send with check or money order
  7.          in the amount of $35 (US dollars only) payable to KEVIN KWAST.
  8.          Mail to the address below, and thank you for your support; your
  9.          registration makes quality Shareware possible.  You will receive
  10.          the latest SWAPUNIT package including Pascal source code.
  11.  
  12.  
  13.          Any of this information is optional.
  14.  
  15.  
  16.            Name: ____________________________________________________
  17.  
  18.            Company: _________________________________________________
  19.  
  20.            Mailing Address: _________________________________________
  21.  
  22.                             _________________________________________
  23.                                 (Be sure to include postal codes)
  24.  
  25.            Phone (Voice/Fax): _______________________________________
  26.  
  27.            NetMail Address: _________________________________________
  28.                                      (Internet preferred)
  29.  
  30.            Circle:    *Borland/Turbo Pascal*      *Microsoft Pascal*
  31.  
  32.            Version: ___________________  Do You Use a Modem? ________
  33.  
  34.            Computer Type: ___________________________________________
  35.  
  36.            Disk Size Preferred:   [___] 5.25 inch     [____] 3.5 inch
  37.  
  38.            Or would you prefer a uuencoded ZIP in netmail?  [___] Yes
  39.  
  40.  
  41.            Where Did You Get SWAPUNIT: ______________________________
  42.  
  43.            What Do You Think: _______________________________________
  44.  
  45.            What Will It Be Used For: ________________________________
  46.  
  47.  
  48.          You can contact me for registration or support:
  49.  
  50.               Kevin A. Kwast              Internet:
  51.               2116 Guadalupe #197           kkwast@ccwf.cc.utexas.edu
  52.               Austin, Texas 78705           kevintx@speedway.net
  53.  
  54.