home
***
CD-ROM
|
disk
|
FTP
|
other
***
search
/
BBS Toolkit
/
BBS Toolkit.iso
/
doors_1
/
jc_240.zip
/
REGISTER.FRM
< prev
next >
Wrap
Text File
|
1992-04-04
|
3KB
|
92 lines
TopSoft Registration Form
On-Line Program US Price / Eur. Price Amount
(001) Shadow's Realm............$20 US..or 45 Guilders....... ____________
Previously Battle Quest...
To Be Release Summer '92..
(002) Ghost Town ]I[............$25 US..or 57 Guilders....... ____________
(003) Thunder Cat...............$15.US..or 35 Guilders....... ____________
(004) BBS Crash! User Fight.....$10.US..or 23 Guilders....... ____________
(005) Card Sharx................$15.US..or 35 Guilders....... ____________
(006) Jet Combat................$20.US..or 45 Guilders....... ____________
(007) Special Deal On All Doors.$75.US..or 165 Guilders...... ____________
(008) ....................................................... ____________
(tax) ........... Kentucky residents, include 6% sales tax ____________
Total ____________
Your Full REAL Name:___________________________________________________
Address............:___________________________________________________
City, State, Zip...:___________________________________________________
BBS Name...........:___________________________________________________
BBS Software.......:___________________________________________________
Fido Node..(if any):___:____/____
Home Voice #.......:(___)___-____
BBS Number.........:(___)___-____
Disk Size..........: 360k______ 1.2mb______ 720k ______ 1.4mb ______
Enclosed for payment is:
[ ] A check/money order, please make check or money order payable to
TopSoft Software, Inc.
[ ] Send my order C.O.D. I agree to pay for the package upon delivery
plus a $6.00 service charge for having it sent COD.
[ ] Visa/Mastercard information (fill out CC section)
Please send this form and registration payment to:
TopSoft Software, Inc.
3503 Trail Ridge Rd.
Louisville, KY 40241
-------------------------------------------------------------------------------
Please fill out if paying by Credit Card:
[ ] Visa [ ] Mastercard [ ] American Express [ ] Discovery
Credit Card Number:______________________________________________
Exp Date:________________________________________________________
Signature:_______________________________________________________
-------------------------------------------------------------------------------
In Europe you can register by sending cash in an envelope (use registered
mail!) or send a Eurocheque. If you send any other cheque than a Eurocheque
add DFls 10,- for bank charges. All cheques should be written in Dutch
Guilders and made payable to Peter Janssens.
Peter Janssens
Patersstraat 48
5801 AV Venray
Netherlands
Fidonet 2:512/1 Phone +31-4780-12428 (HST / V32b)
-------------------------------------------------------------------------------