home *** CD-ROM | disk | FTP | other *** search
/ Over 1,000 Windows 95 Programs / Over 1000 Windows 95 Programs (Microforum) (Disc 2).iso / 0184 / regform.tx_ / regform.tx
Text File  |  1997-03-25  |  1KB  |  50 lines

  1. Registration Form:
  2.  
  3. Print out this form and
  4. send your $50.00 registration fee to:
  5.  
  6. Custom Computer Solutions
  7. P.O. Box 2
  8. Massapequa Park, NY 11762
  9.  
  10. 516.799.1528
  11.  
  12. Product that you are registering
  13. Name and version:___________________________________________
  14. Needed to determine if you are current.
  15.  
  16. Date:________________________________
  17.  
  18. Name:________________________________
  19.  
  20. Company:__________________________________________
  21.  
  22. Address:__________________________________________
  23.  
  24. City:_________________________ State:______  Zip:_____________
  25.  
  26. Phone:______________________ Fax:____________________
  27.  
  28. E-Mail Address:______________________________________    
  29. (Important for correspondance as well as program file updates).
  30.  
  31. Type of business:________________________________________________
  32.  
  33. Number of employees:_________
  34.  
  35. Type of Computer(s):_____________________________________________
  36.  
  37. Operating System: (Win95,Win3.x,OS2)_____________________________
  38.  
  39.  
  40. Registration ID# plus updated files will be send back to you 
  41. immediately following the receipt of the registration.
  42.  
  43.  
  44.  
  45.  
  46. Thank you,
  47.  
  48.  
  49. Tom Winter
  50.