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- PRODUCT REGISTRATION FORM
- MOONLITE SOFTWARE (TM)
- (REGISTER.FRM)
- Name: _________________________________
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- Company/Org. Name: _________________________________
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- Address: _________________________________
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- _________________________________
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- _________________________________
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- Your Telephone Number: _________________________________
- (include area/country code)
-
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- Date Ordered: Month ________ Day _____ Year ______
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- Disk size required _____ 5 1/4 _____ 3 1/2
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- PRODUCT QUANTITY FEE AMOUNT
- ------- -------- ----------
-
- ______________________ ________ ________________
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- ______________________ ________ ________________
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- ______________________ ________ ________________
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- ______________________ ________ ________________
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- ______________________ ________ ________________
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- ______________________ ________ ________________
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- TOTAL AMOUNT DUE ________________
- ----------------
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- Checks or Money orders: Make payable in U.S. currency on a U.S. bank.
- Make check or money orders payable to --KIM WILLIAMSON--.
-
- MAIL TO:
-
- MOONLITE SOFTWARE
- P.O.Box 94
- Aurora, IL. 60542-0094
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- Where did you receive this software ? (BBS/DISK VENDOR/OTHER)
- Please list which one.
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- _______________________________
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- _______________________________
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- _______________________________
-