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Text File  |  1992-08-03  |  2KB  |  70 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.                           100 Clemwood St., Suite D
  10.                              Salisbury, MD  21801
  11.  
  12.  
  13.   ITEM                                                                PRICE
  14.   ---------------------------------------------------------------------------
  15.  
  16.   Check program(s) desired:
  17.  
  18.   [  ] Easy Quote v2.0                                                 $10
  19.  
  20.   [  ] List-A-Board v1.0                                               $ 5
  21.  
  22.   [  ] The Stats Machine v2.12                                         $10
  23.  
  24.   [  ] Speak Up v2.0                                                   $10
  25.  
  26.   [  ] Traffic Report v1.0                                             $ 5
  27.  
  28.  
  29.   Disk Format (choose one):    5.25"______     3.5"______
  30.  
  31.  
  32.                                                       5% Sales Tax  $________
  33.                                                     (MD Residents)
  34.  
  35.                                                           Subtotal  $________
  36.  
  37.  
  38.                                                              Total  $________
  39.  
  40.  
  41.            Please make checks payable to: UP Technologies, Inc.
  42.  
  43.                    (Sorry, no COD or credit card orders.)
  44.                            (Please print clearly.)
  45.  
  46.          Ship To:
  47.  
  48.          Name: ____________________________________________________
  49.  
  50.          Address: _________________________________________________
  51.  
  52.          City: ____________________________________________________
  53.  
  54.          State:___________________        Zip Code:________________
  55.  
  56.  
  57.  
  58.          BBS NAME: ________________________________________________
  59.  
  60.          BBS PHONE: (____)-________________
  61.          
  62.  
  63.          Questions/Comments _______________________________________
  64.  
  65.          __________________________________________________________
  66.  
  67.          __________________________________________________________
  68.  
  69.          __________________________________________________________
  70.