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Text File  |  1993-01-22  |  5KB  |  66 lines

  1. --------------------------------------------------------------------------------
  2. |                         CLIENT REGISTRATION FORM                             |
  3. |                                                                              |
  4. |   NAME                                  MAIL TO:  FOOTHILLS SOFTWARE         |
  5. |        --------------------------                 1515 Shenandoah Drive      |
  6. |   ADDRESS                                         Boise, ID  83712           |
  7. |           -----------------------                                            |
  8. |                                                                              |
  9. |           -----------------------                 (208) 336-3539             |
  10. |                                                                              |
  11. |           -----------------------                                            |
  12. |                                                                              |
  13. |   Name of program                                                            |
  14. |                   ---------------------------------------------------        |
  15. |    Version number                                                            |
  16. |                   -------------------  (See opening screen for number)       |
  17. |______________________________________________________________________________|
  18. |                                                                              |
  19. |   REGISTRATION:                                                              |
  20. |                                                                              |
  21. |       Registration fee (from opening screen)                                 |
  22. |                                                    ------                    |
  23. |                                                                              |
  24. |       Idaho residents only add 5% sales tax                                  |
  25. |                                                    ------                    |
  26. |                                                                              |
  27. |                                         Total                                |
  28. |                                                    ------                    |
  29. |                                                                              |
  30. |   METHOD OF PAYMENT:  Check | |   Money Order | |  (Cash not recommended)    |
  31. |                                                                              |
  32. |   DISK SIZE:  5 1/4" | |     3 1/2" | |                                      |
  33. |                                                                              |
  34. |   TERMS:  ALL MAIL AND PHONE ORDERS MUST BE PREPAID.                         |
  35. |           ALL ORDERS SHIPPED SAME DAY RECEIVED.                              |
  36. |                                                                              |
  37. |______________________________________________________________________________|
  38. |                                                                              |
  39. |                        So we can serve you better...                         |
  40. |                                                                              |
  41. |                   Please answer the following questions.                     |
  42. |                                                                              |
  43. |  1.  Computer brand and model                                                |
  44. |                               --------------------------------------------   |
  45. |  2.  Installed memory in kilobytes                                           |
  46. |                                    --------                                  |
  47. |  3.  Printer brand and model                                                 |
  48. |                              ---------------------------------------------   |
  49. |  4.  How did you learn about this program?                                   |
  50. |                                            -------------------------------   |
  51. |                                                                              |
  52. |      ---------------------------------------------------------------------   |
  53. |  5.  Do you have comments/suggestions?                                       |
  54. |                                        -----------------------------------   |
  55. |                                                                              |
  56. |      ---------------------------------------------------------------------   |
  57. |                                                                              |
  58. |      ---------------------------------------------------------------------   |
  59. |                                                     Thanks very much!        |
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