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Text File  |  1991-07-30  |  2KB  |  51 lines
  1.                   EliteCheck Registration Form
  2.                   ----------------------------
  3.  
  4.  
  5. Date: _____________                     Ref No: ECS110VD03-001-073091
  6.  
  7.  
  8.      Name:     ___________________________________________
  9.      Address:  ___________________________________________
  10.                ___________________________________________
  11.      Phone:    ___________________________________________
  12.  
  13.      Disk Size:  [ ] 5.25"   [ ]3.5"
  14.      Payment by: [ ]Check  [ ]Money Order
  15.                  [ ]MC  [ ]Visa  [ ]Amex  [ ]Discover
  16.      Credit card #: ______________________________________
  17.      Card Exp Date: ____________
  18.      Signature:     ______________________________________
  19.  
  20.  
  21.                Registration Fee    $25.00
  22.                Shipping & Handling $ 2.95
  23.                -----------------------------
  24.                Total               $27.95
  25.  
  26.  
  27. -------------------------------------------------------------------
  28.  
  29.  
  30. To order with credit card from the Public (software) Library:
  31.  
  32.            Call PsL at 1-800-2424-PsL or 713-524-6394
  33.                or Fax this form to 1-713-524-6398
  34. or Mail this form to PsL at P.O. Box 35705, Houston, TX 77235-5705.
  35.        The above numbers and address are for orders only.
  36. Any questions about shipment status, refunds, technical support,
  37.              etc., must be directed to the author at
  38.      Taewoong Jeon, P.O. Box 166101, Chicago, IL 60616-6101.
  39.  
  40.  
  41. To order by check or money order:
  42.  
  43.         Mail this form with your payment to the author at
  44.                           Taewoong Jeon
  45.                          P.O. Box 166101
  46.                      Chicago, IL 60616-6101
  47.               Send this form with your payment to:
  48.  
  49. For more information on registration and license regarding the use
  50. of the EliteCheck package, refer to the REGISTER.DOC file.
  51.