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/ Precision Software Appli…tions Silver Collection 4 / Precision Software Applications Silver Collection Volume 4 (1993).iso / database / ezaddrs1.arj / REGISTER.FRM < prev   
Text File  |  1993-03-15  |  1KB  |  40 lines
  1.                            
  2.                          EZ-ADDRESS Registration Form
  3. -----------------------------------------------------------------------------
  4.  
  5.   YOUR NAME:______________________________      Age:____  (Optional)
  6.   
  7.   ADDRESS  :______________________   CITY:_________________  STATE:____
  8.  
  9.       ZIP  :___________       COUNTRY:______________
  10.  
  11.    PHONE#  :_______________________  (Optional)
  12.  
  13.    What PC System do you use?:________________________    
  14.                
  15.                     DOS Ver.?:_______
  16.  
  17. -----------------------------------------------------------------------------
  18.  
  19.                         COMMENTS ON EZ-ADDRESS ver. 1.0     
  20.  (Please mention any likes/dislikes or other options you'd like to see added)
  21.  
  22. _____________________________________________________________________________
  23.  
  24. _____________________________________________________________________________
  25.  
  26. _____________________________________________________________________________
  27.  
  28. _____________________________________________________________________________
  29.  
  30.  
  31.                         Send $15 (USA) Registration fee to:
  32.  
  33.                         R.JAMES C/O Vt-Xpress
  34.                         Box #25, Main St.
  35.                         Voluntown, CT  06384
  36.                         (USA)
  37.  
  38.  
  39.                         Thanks!
  40.