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Text File  |  1994-12-28  |  2KB  |  44 lines

  1. --------------------------------------------------------------------------------            
  2.  REGISTRATION ORDER FORM FOR THE PRESIDENTS OF THESE FIFTY STATES UNITED v2.0
  3. ------------------------------------------------------------------------------
  4.  
  5. Name____________________________________________________________________________
  6.  
  7. Address ________________________________________________________________________
  8.  
  9. City _______________________ State/Province ________________ Zip Code __________
  10.  
  11. Country ____________________
  12.  
  13. Where did you get this Shareware program? ______________________________________
  14.  
  15. Comments about this program ____________________________________________________
  16.  
  17. ________________________________________________________________________________
  18.  
  19. ________________________________________________________________________________
  20.  
  21. __________ No. of copies of The Presidents  X $20.00 = _______________________
  22.  
  23. *__________ Version upgrade of The Presidents X $10.00 = _____________________
  24.  
  25. * Serial # (required for upgrades) ____________________
  26.  
  27. Disk size (please circle one)     5.25"    3.5"
  28.  
  29. Texas residents - please add sales tax.                 = ____________________
  30.                                                   
  31. Foreign Orders - Add $4.00 Shipping & Handling            = ____________________
  32.  
  33. Total amount enclosed                                     = $___________________
  34.  
  35. Please send check, money order, or cash (U.S. dollars) to : 
  36.                               
  37.                               Daniel Gonzalez
  38.                               5423 Bakersfield
  39.                          San Antonio, TX 78228-6514
  40.  
  41. Make check payable to : Daniel Gonzalez
  42.  
  43. Allow one week for delivery.  Thank you for registering!!!
  44.