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Text File  |  1993-12-23  |  2KB  |  58 lines
  1.      PRODUCT REGISTRATION FORM (ASPCD)
  2.      MOONLITE SOFTWARE (TM)
  3.      (REGISTER.FRM)                                
  4.                 Name:  _________________________________
  5.  
  6.            Company/Org. Name:  _________________________________
  7.  
  8.                  Address:  _________________________________
  9.  
  10.                        _________________________________
  11.  
  12.                        _________________________________
  13.  
  14.            Your Telephone Number:  _________________________________
  15.                        (include area/country code)
  16.  
  17.            
  18.            Date Ordered:  Month ________  Day _____  Year ______
  19.  
  20.            Disk size required  _____ 5 1/4    _____ 3 1/2
  21.  
  22.      PRODUCT                       QUANTITY                 FEE AMOUNT
  23.      -------                       --------                 ----------
  24.  
  25.      FLUX - $15.00_________        ________               ________________
  26.  
  27.      DIMENSION - $15.00____        ________               ________________
  28.  
  29.      **** SPECIAL ****
  30.      FLUX & DIMENSION 
  31.      $22.50  (Save $7.50)__        ________               ________________
  32.  
  33.      ______________________        ________               ________________
  34.  
  35.      ______________________        ________               ________________
  36.  
  37.  
  38.                      TOTAL AMOUNT DUE     ________________
  39.                               ----------------
  40.  
  41.      Checks or Money orders:  Make payable in U.S. currency on a U.S. bank. 
  42.      Make check or money orders payable to --KIM WILLIAMSON--.
  43.  
  44.      MAIL TO:   
  45.  
  46.     MOONLITE SOFTWARE
  47.     P.O.Box 94
  48.     Aurora, IL.  60542-0094
  49.  
  50.      Where did you receive this software ?  (BBS/DISK VENDOR/OTHER)  
  51.      Please list which one.
  52.  
  53.      _______________________________
  54.  
  55.      _______________________________
  56.  
  57.      _______________________________
  58.