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Text File  |  1997-08-25  |  2KB  |  64 lines
  1. --------------------------------------------------------------------
  2.  
  3.                 R-Type Software Registration Form
  4.                 
  5. --------------------------------------------------------------------
  6.  
  7.  
  8. First Name: _______________________________
  9.  
  10. Last Name: ________________________________
  11.  
  12. Email: ____________________________________
  13.  
  14. Address: ___________________________________________________________
  15.  
  16. City: _______________________  State: __________  Zip: _____________
  17.  
  18. Country: __________________________________
  19.  
  20.  
  21.  
  22. Software registering                     Price          Total
  23. ---------------------------------------------------------------
  24.  
  25. Stock Slip                                 $15
  26. _______________________________________________________________
  27.  
  28. Stock Slip (Charles Schwab Edition)        $15
  29. _______________________________________________________________
  30.  
  31.  
  32. _______________________________________________________________
  33.  
  34.  
  35. _______________________________________________________________
  36.  
  37.  
  38. _______________________________________________________________
  39.  
  40. If you would like the software on diskette
  41. send to you, please add $5.
  42. Please Specify Disk Type:   ___ Mac or ___ PC
  43. _______________________________________________________________
  44.  
  45.                                                 Total:
  46.  
  47.  
  48.  
  49. Please print and fill out this form completely.
  50. Make check payable to R-Type Software.
  51. Please mail the completed form and payment to:
  52.  
  53. R-Type Software
  54. 3778 Rockwell Ave.
  55. El Monte, CA 91731
  56. USA
  57.  
  58. A copy of the registered software will be emailed to you as soon as
  59. this order form is received by R-Type Software.  If you are requesting
  60. software on diskette, please allow 2-4 weeks for delivery.
  61.  
  62. You can find us on the internet at: www.r-type.com.
  63. You can email us at: support@r-type.com.
  64.