home *** CD-ROM | disk | FTP | other *** search
/ Share Gallery 1 / share_gal_1.zip / share_gal_1 / GA / GA300.ZIP / GLORDER.FRM < prev    next >
Text File  |  1990-05-11  |  2KB  |  62 lines
  1.    __________________________________________________________________________
  2.  
  3.                        Get Lucky! Registration Form          2.25d
  4.  
  5.     Telephone Orders (314) 458-2863 (evenings)
  6.  
  7.     MAIL TO:  GLENCOE COMPUTING
  8.               1100 Highway C
  9.               Glencoe, Missouri
  10.                   63038-1404
  11.  
  12.  
  13.     NAME:    ______________________________________     DATE: ___/___/___
  14.  
  15.     ADDRESS: ______________________________________
  16.  
  17.     CITY:    ______________________________________
  18.  
  19.     STATE:   ______________  ZIP: _________-_______
  20.  
  21.     PHONE:   (____)____-________(in case there's a question about your order)
  22.  
  23.     Registrations of $24.99 will receive the Enhanced Version.
  24.  
  25.     International (except Canada) orders please add $3.00 for shipping.
  26.        Be sure to make payment in US funds ($).
  27.  
  28.     Where did you obtain your copy of Get Lucky! ?: ________________________
  29.  
  30.     YOUR HARDWARE:
  31.  
  32.     Computer _______________  Video adapter _______________ Fixed disk? ____
  33.  
  34.     Type of media desired:   5 1/4":___  5 1/4" Hi Den:___  3 1/2" micro:___
  35.  
  36.     +----------------------------------------------------------------------+
  37.     |                   MASTERCARD AND VISA ARE WELCOME!                   |
  38.     |                                                                      |
  39.     |    Act #____________________________________    Ex Date ___/___      |
  40.     |                                                                      |
  41.     |    Signature required for credit cards ___________________________   |
  42.     +----------------------------------------------------------------------+
  43.  
  44.     AMOUNT ENCLOSED: $____________
  45.  
  46.     COMMENTS:
  47.  
  48.  
  49.  
  50.  
  51.  
  52.     ------------------------------------+----------------------------------
  53.                                         |    * * * DO NOT MARK HERE * * *
  54.     Your support is greatly appreciated.|
  55.                                         | Serial # _______________________
  56.                                         |
  57.     Donald Granger                      | Version  ______________________
  58.                                         |
  59.                             07-90       | Ship date_______________________
  60.     ------------------------------------+----------------------------------
  61.                           Please allow 1-2 weeks delivery time            
  62.