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REGISTER.PIE
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Text File
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1991-03-01
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2KB
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54 lines
Programmer's Integrated Environment Version 2.0
Registration Form
Name ______________________________________________________
Address ___________________________________________________
___________________________________________________
City ________________________ State ____ Zip ____________
Day Phone (______)_______________________ Ext ____________
Eve Phone (______)_______________________ Ext ____________
Disk Format [ ] 5 1/4 [ ] 3 1/2
Quantity ____ X $10 U.S. = ________
Sales Tax (Michigan Only) 4% ________
Total ________
Payment Method:
[ ] Check/Money Order Enclosed [ ] VISA [ ] MasterCard
Card Number ______________________________________________
Expiration Date ____________
Cardholder Signature _____________________________________
Mail completed form to: twentysomething Software
16744 James St.
Holland MI 49424
Comments __________________________________________________
___________________________________________________________
___________________________________________________________
___________________________________________________________
___________________________________________________________
___________________________________________________________
* * * T H A N K Y O U F O R Y O U R O R D E R * * *