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Text File  |  1993-01-31  |  2KB  |  52 lines
  1.                                  Jon F. Gray
  2.                                  P.O. Box 292
  3.                           Chesterland, Ohio   44026
  4.  
  5.                           Compuserve ID: 74017,3606
  6.  
  7. Registration Form for: Contacts, Mailing list, and Events Database
  8.  
  9. Name: ______________________________________________
  10.  
  11. Company:    ________________________________________
  12.  
  13. Address:    ________________________________________
  14.  
  15.             ________________________________________
  16.  
  17. City,State: ________________________________________
  18.  
  19. Telephone:  ________________________________________
  20.  
  21. Version Number:   ____________
  22.  
  23. Registration Type:     Single User             __________ - enclose $45.00
  24.  
  25.                        Network (multi-user)    __________ - enclose $95.00
  26.  
  27. Do you need Paradox 4.0 Runtime?  5.25" disk   __________ - enclose $ 5.00
  28.     (See note below)
  29.                                   3.5" disk    __________ - enclose $ 6.00
  30.  
  31.                              Total Payment :   __________
  32.  
  33. Where did you get your copy of the CMED program ? ______________________
  34.  
  35. ________________________________________________________________________
  36.  
  37. Comments: ______________________________________________________________
  38.  
  39. ________________________________________________________________________
  40.  
  41. ________________________________________________________________________
  42.  
  43. ________________________________________________________________________
  44.  
  45.  
  46. ________________________________________________________________________
  47.  
  48. NOTE:  Paradox 4.0 Runtime is being offered for the cost of distribution and
  49. handling, but is licensed only for use with this application.  Paradox 4.0
  50. Runtime is a product of Borland International and may not be used with any
  51. other application without an appropriate license from Borland.
  52.