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Text File  |  1991-05-09  |  2KB  |  61 lines
  1. DiscTrak System
  2. (c)1991 Blam Entertainment Group
  3. Registration / Upgrade Form
  4. Version 1.61
  5.  
  6.  
  7.    Remit to:       Blaine R. Young
  8.                    Blam Entertainment Group
  9.                    5517 Pacific Blvd #4404
  10.                    Boca Raton, FL  33433           DATE _________________
  11.  
  12.   Current Revision ____________________    Compile Date _________________
  13.  
  14.      Serial Number ____________________
  15.                 Registered Updates Only
  16.  
  17.                                          Registration 
  18. Registration Type                            Fee       QUANTITY  SUBTOTAL
  19. --------------------------------------- -------------- --------  --------
  20.  
  21. Current Version (no disk sent)               $25      x________  ________
  22.  
  23. Newest Version
  24.  disk sent - please specify size             $30      x________  ________
  25.  
  26. Upgrade to Newest Version 
  27.  disk sent - specify disk size                $5      x________  ________
  28.  
  29.   5-1/4  ________       3-1/2  ________          TOTAL ________  ________
  30.  
  31.  
  32. Name_____________________________________________________________________
  33.  
  34. Company__________________________________________________________________
  35.  
  36. Address__________________________________________________________________
  37.  
  38. _________________________________________________________________________
  39.  
  40. _________________________________________________________________________
  41.  
  42. Phone  (H)___________________________  (W)_______________________________
  43.  
  44. Where did you hear about DiscTrak System_________________________________
  45.  
  46. Comments_________________________________________________________________
  47.  
  48. _________________________________________________________________________
  49.  
  50. _________________________________________________________________________
  51.  
  52. _________________________________________________________________________
  53.  
  54. _________________________________________________________________________
  55.  
  56. *    Please make checks payable to Blaine R. Young
  57. *    All checks must be drawn on U.S. banks and payable in U.S. currency
  58. *    You will receive documentation through the mail containing your
  59.      serial number and detailed instructions on how to install it
  60. *    All diskettes shipped will be low density
  61.