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Text File  |  1993-03-14  |  3KB  |  86 lines

  1.  
  2.  
  3.                               Registration Form
  4.  
  5.   Send this completed form, along with check or money order for proper
  6.   amount (US funds only) to:
  7.  
  8.                              UP Technologies, Inc.
  9.                               917 S. Division St.
  10.                              Salisbury, MD  21801
  11.  
  12.  
  13.   ITEM                                                                PRICE
  14.   ---------------------------------------------------------------------------
  15.  
  16.   Check program(s) desired:
  17.  
  18.  
  19.   [  ] Easy Quote v3.0                                                 $10
  20.  
  21.   [  ] List-A-Board v2.0                                               $10
  22.  
  23.   [  ] The Stats Machine v3.0                                          $20
  24.  
  25.   [  ] Speak Up v3.0                                                   $10
  26.  
  27.   [  ] Rate-A-Door v1.0                                                $ 5
  28.  
  29.   [  ] Traffic Report v1.0                                             $ 5
  30.  
  31.   [  ] TSTAT v1.1                                                      $ 5
  32.  
  33.   [  ] Door Report v1.5                                                $10
  34.  
  35.   [  ] PC-Plinko v1.0                                                  $10
  36.  
  37.   [  ] Screen Door v2.0                                             FREE With
  38.                                                                   Registration
  39.  
  40.   [  ] Super Value Pack! - includes all of the above (save $15)        $70  
  41.        Only available for Wildcat! sysops
  42.   
  43.   
  44.   Disk Format (choose one):    5.25"______     3.5"______
  45.  
  46.  
  47.  
  48.                                                       5% Sales Tax  $________
  49.                                                     (MD Residents)
  50.  
  51.                                                           Subtotal  $________
  52.  
  53.  
  54.                                                              Total  $________
  55.  
  56.  
  57.            Please make checks payable to: UP Technologies, Inc.
  58.  
  59.                    (Sorry, no COD or credit card orders.)
  60.  
  61.          Ship To:
  62.  
  63.          Name: ____________________________________________________
  64.  
  65.          Address: _________________________________________________
  66.  
  67.          City: ____________________________________________________
  68.  
  69.          State:___________________        Zip Code:________________
  70.  
  71.  
  72.  
  73.          BBS NAME: ________________________________________________
  74.  
  75.          BBS PHONE: (____)-________________
  76.          
  77.          BBS SOFTWARE: ______________________________
  78.  
  79.          Questions/Comments _______________________________________
  80.  
  81.          __________________________________________________________
  82.  
  83.          __________________________________________________________
  84.  
  85.          __________________________________________________________
  86.