home *** CD-ROM | disk | FTP | other *** search
/ EnigmA Amiga Run 1995 November / EnigmA AMIGA RUN 02 (1995)(G.R. Edizioni)(IT)[!][issue 1995-11][Skylink CD].iso / earcd / gfx / imagdx24.lha / Registration < prev    next >
Text File  |  1995-01-22  |  2KB  |  60 lines
  1.  
  2.                                                             
  3.  
  4.                            ImageDex 2.4 Registration
  5.  
  6.                Send to:       Precision Imagery
  7.                               P.O. Box 20676
  8.                               Cranston, RI 02920
  9.                               USA
  10.  
  11. ------------------------------- Cut here 8< -------------------------------
  12.  
  13.  
  14. ______    ImageDex Registration fee............ @ US $15.00 ea. $ _________
  15.  
  16. ______    ImageDex Bound Manual................ @ US  $5.00 ea. $ _________
  17.  
  18.           SHIPPING & HANDLING  
  19.  
  20.           North America: $3;   Outside: $5                      $ _________
  21.  
  22.  
  23.                                                        SUBTOTAL $ _________
  24.  
  25.  
  26.          Rhode Island residents add Sales Tax......@ 7% (ouch!) $ _________
  27.  
  28.  
  29.  
  30.                         TOTAL (U.S. funds drawn on a U.S. bank) $ _________
  31.  
  32.  
  33. Name: _____________________________________________________________________
  34.  
  35. Company (ONLY if company address): ________________________________________
  36.  
  37. Address: __________________________________________________________________
  38.  
  39.          __________________________________________________________________
  40.  
  41.          __________________________________________________________________
  42.  
  43.   Phone: ____________________________        Fax: _________________________ 
  44.  
  45.   Email: ____________________________        BBS: _________________________ 
  46.  
  47.   Where did you get ImageDex? _____________________________________________
  48.  
  49.  
  50. Problems, bugs, compliments, suggestions, flames: _________________________
  51.  
  52. ___________________________________________________________________________
  53.  
  54. ___________________________________________________________________________
  55.  
  56. ___________________________________________________________________________
  57.  
  58. ___________________________________________________________________________
  59.  
  60.