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Text File  |  1993-05-02  |  2KB  |  47 lines
  1. =============================================================================
  2.                            *** REGISTRATION FORM ***
  3. =============================================================================
  4.  
  5.                                                          Date : _____________
  6.  
  7.  
  8.    [Please Print Clearly]
  9.  
  10.    Name _____________________________________________________________________
  11.  
  12.    Address __________________________________________________________________
  13.  
  14.    City _____________________________ State _________ Zip Code ______________
  15.  
  16.    Country (if not USA) _____________________ Phone _________________________
  17.  
  18.  
  19.    Mark disk size:   [ ]  5 1/4"     [ ]  3 1/2"
  20.                                               
  21.    Product(s) Ordered :
  22.       (please mark)
  23.                          Description                  Price
  24.                     ---------------------------------------
  25.                     [ ]  SportsCards                   9.95
  26.                     [ ]   VideoBase                    6.95
  27.                     _______________________________________
  28.  
  29.                     Total of all software ordered  $ ______
  30.                     Texas Residents add 7.25% tax  $ ______
  31.                                 Shipping/Handling  $   1.50
  32.                        (Outside USA add $2 extra)
  33.                     _______________________________________
  34.  
  35.                                    Amount Enclosed $ ______
  36.                                
  37.  
  38.                             Mail to:  The Sellware Source
  39.                                            PO Box 197
  40.             !! THANK YOU !!          Randolph AFB, TX 78148
  41.                                          (210) 659-0708
  42.  
  43.  
  44.             Make your check/money order to "The Sellware Source"
  45.                      Allow 2 to 3 weeks for delivery.
  46.  
  47.