home *** CD-ROM | disk | FTP | other *** search
/ BBS in a Box 15 / BBS in a box XV-1.iso / Files / Util / T / TakeABreak 1.1.sit / TakeABreak Folder / Registration Form (pict) (.png) next >
Macintosh Picture Format  |  1995-03-02  |  4.2 KB  |  498x397  |  1-bit (2 colors)  |  [PICT/MDRW]
   ocr: TakeABreak 1.1 - - Registration Form Name: Company Address: City. State: Zip: On-line Addresses (if any): Please fill in the quantity (the number of computers you are registering for) and to Quantity Price each Total $5.00 Comments: Mail this form along with payment My e-mail addresses (AOLIS preterre inl U.S. dollars (preferably a check) to: America Online: JohnHolder GEnie: JOHN.HOLDER John V.Holder CompuServe: 75040,1126 2862Lowell Street Internet: JohnHolder@aol.com Eureka, CA 95501