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Text File  |  1996-12-08  |  2KB  |  47 lines
  1. Software Registration Form
  2. ____________________________________________________________________
  3. Registration information:
  4. [1]
  5. [2]
  6. [3]
  7. Phone/FAX:   [4]       [5]
  8.  
  9. Email:   [6]
  10.  
  11. Comments:   [7]  
  12.  
  13. Payment Method:   [8][9][10][11]
  14.  
  15. Products Ordered:
  16. ([12]) TakeABreak 2.0 ($10 each).................:   [13]
  17. ([14]) QuickScrap ($15 each)........................:   [15]
  18. ([16]) ScrapIt Pro ($20 each).......................:   [17]
  19. ([18]) QuickScrap & ScrapIt Pro ($30 each):   [19]
  20. ([20]) QuickPop ($10 each)...........................:   [21]
  21. ([22]) ViewFont ($5 each)..............................:   [23]
  22. ([24]) ColorFall ($10 each)...........................:   [25]
  23. ([26]) Escape! ($10 each)..............................:   [27]
  24. ([28]) SideMinder ($10 each)........................:   [29]
  25.  
  26. Quantity Discount...........:   [30]
  27. Send Latest?...(adds $5):   [31]
  28. Disk Size (800k or HD):   [32]
  29. Sales Tax (CA Only).......:   [33]
  30. Note: Sales Tax is only collected if you've requested a disk and you live in California
  31.  
  32. Total Due.........................:   [34]
  33.  
  34. [35]
  35. ____________________________________________________________________
  36. Print this form and send your check, money order (made payable to ‚ÄúJohn V. Holder‚Äù) or cash to:
  37.  
  38. John V. Holder                                                           Email addresses (AOL is preferred):
  39. 1734 "S" Street                                                         America Online:  JohnHolder
  40. Eureka, CA  95501                                                   Internet...........:  JohnHolder@aol.com
  41. USA                                                                            CompuServe....:  75040,1126
  42.  
  43. FAX:  (707) 443-3813
  44.  
  45. Home Page:   http://www.northcoast.com/~jvholder
  46. (check for the latest new releases and updates!)
  47.