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Text File  |  1991-07-28  |  4.3 KB  |  58 lines
  1.  ___________________________________________________________________________
  2. |                                                                           |
  3. |                     Super Hi/Lo Registration Form                         |
  4. |___________________________________________________________________________|
  5. |                                                                           |
  6. |                        (Please Print Neatly)                              |
  7. |                                                                           |
  8. | Your Name _______________________________________________________________ |
  9. |                                                                           |
  10. | Street Address __________________________________________________________ |
  11. |                                                                           |
  12. | City ___________________  State _________  Zip Code _____________________ |
  13. |                                                                           |
  14. | Your Voice Phone Number (______) _____________ - ________________________ |
  15. |                                                                           |
  16. | BBS Name ________________________________________________________________ |
  17. |                                                                           |
  18. | Sysop Name ______________________________________________________________ |
  19. |                                                                           |
  20. | BBS Phone Number ________________________________________________________ |
  21. |                                                                           |
  22. | Comments / Suggestions __________________________________________________ |
  23. |                                                                           |
  24. | _________________________________________________________________________ |
  25. |                                                                           |
  26. | _________________________________________________________________________ |
  27. |                                                                           |
  28. |                                                                           |
  29. |                        Registration Costs:                                |
  30. |                  (Please Check Applicable Boxes)                          |
  31. |                                                                           |
  32. |      [ ]  Basic Registration (Includes Shipping) ....... $10.00           |
  33. |      [ ]  Ship On 3 1/2 High Density Diskette .......... $02.00           |
  34. |      [ ]  Ship On 3 1/2 Low Density Diskette ........... $01.00           |
  35. |      [ ]  Ship On 5 1/4 High Density Diskette .......... $01.00           |
  36. |      [ ]  Ship On 5 1/4 Low Density Diskette ........... -FREE-           |
  37. |                                                         +======+          |
  38. |                                            Grand Total  | $    |          |
  39. |                                                         +======+          |
  40. |                                                                           |
  41. |         Upon receiving your check, the registration key (HILO.REG) will   |
  42. | be mailed to you immediately. It will be shipped first class in a sturdy  |
  43. | cardboard envelope clearly marked to avoid damage from the post office.   |
  44. | It will also enable you to register all future version of Super Hi/Lo,    |
  45. | as the key will remain the same.                                          |
  46. |                                                                           |
  47. |             Please make Checks Payable to : DAVID MITCHELL                |
  48. |                                                                           |
  49. |       After form is completely filled out, mail the form and check to:    |
  50. |                                                                           |
  51. |                             A.F.D. Software                               |
  52. |                            c/o Dave Mitchell                              |
  53. |                            36205 6 Mile Road                              |
  54. |                            Livonia, MI 48152                              |
  55. |                                                                           |
  56. |___________________________________________________________________________|
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