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ORDER.FRM
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1991-06-24
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Registration Form for Boomerang Version 2.00
Please complete this form and send it along with payment to:
Jerry Hsu
455 Leah Drive
Fort Washington, PA 19034-3021
You will receive the latest copy of Boomerang and my forever
thankfulness.
Acceptable form of payment is check (personal or cashiers) or money order.
Credit cards are not taken at this time.
Make checks payable to "Jerry Hsu".
Boomerang Registration (v2.00)
Date: ______________
($8.00 Per Copy) Amount: ______________
(Pennsylvania residents add 6%, or $0.48) Tax: ______________
Future Upgrades ($5.00) : --------------
(Check amount) Total: ______________
First Name: ________________________________
Last Name: ________________________________
Street Address: ________________________________
________________________________
City: ___________________________ State: ____ Zip _______-______
Phone: ___________________________ (optional)
Disk Size: 360K 720K 1.2M 1.44M
Graphics: CGA EGA VGA Other __________
CPU: 86/88 286 386 486
Language: English French Spanish German Other __________
Comments: