home *** CD-ROM | disk | FTP | other *** search
/ BBS Toolkit / BBS Toolkit.iso / tag_bbs / fochng20.zip / REGISTER.FRM < prev   
Text File  |  1992-07-29  |  2KB  |  49 lines
  1.                         DRAGON SOFTWARE REGISTRATION FORM
  2.                         ---------------------------------
  3.  
  4.     Name ____________________________________________________________________
  5.  
  6.  Address ____________________________________________________________________
  7.  
  8.          ____________________________________________________________________
  9.  
  10.          ____________________________________________________________________
  11.  
  12.    Phone ________________________  CompuServe ID Number
  13.                                      (If applicable)      ___________________
  14.  
  15.  ____ Registration(s) of FLAMKER @ 15.00 EA                        __________
  16.  
  17.                          FOCHANGE @ 10.00 EA                       ----------
  18.  
  19.                          FPOINTS(PACKAGE) @ 15.00 EA               ----------
  20.  
  21.       VIRIGIA Residents Add 4.5% Sales Tax                         ----------
  22.  
  23.                                                               Total _________
  24.  
  25.  
  26.       Type of PC Used ________________________________  DOS Version _________
  27.  
  28.       Hardware Configuration ________________________________________________
  29.  
  30.       What Resident Software Do You Run _____________________________________
  31.  
  32.       _______________________________________________________________________
  33.  
  34.       _______________________________________________________________________
  35.  
  36.       Comments and Suggestions ______________________________________________
  37.  
  38.       _______________________________________________________________________
  39.  
  40.       _______________________________________________________________________
  41.  
  42.       _______________________________________________________________________
  43.  
  44.                  Check or money order should be made payable to:
  45.  
  46.                                Dragon Software
  47.                                8216 Edwin Drive
  48.                                Norfolk, VA  23505
  49.