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/ Cream of the Crop 21 / Cream of the Crop 21 (Terry Blount) (October 1996).iso / business / vidsys20.zip / REGISTER.TXT < prev    next >
Text File  |  1996-07-20  |  2KB  |  55 lines
  1.                                 Registration
  2.              ----------------------------------------------------
  3.                              Browning Ware, Inc.
  4.                               220 Kyser Avenue
  5.                            Bessemer, AL  35021  USA
  6.                               (205) 428-1009
  7.  
  8.                               kenbrow@cris.com
  9.  
  10.              ----------------------------------------------------
  11.  
  12.            Please Print Store Information EXACTLY as you want it to 
  13.            appear in your software.
  14.  
  15.              Store Name: _________________________________________
  16.  
  17.                 Address: _________________________________________
  18.  
  19.          City/State/Zip: _________________________________________
  20.  
  21.                   Phone: _________________________________________
  22.  
  23.    
  24.            ---------------------------------------------------------
  25.           | VideoSys Registration                     |   $125.00   |
  26.            ---------------------------------------------------------
  27.           | Shipping/Handling                         |       N/C   |
  28.            ---------------------------------------------------------
  29.           | Total Due                                 |   $125.00   |
  30.            ---------------------------------------------------------
  31.  
  32.              Payment Type:  Check/MO    Visa/MC    Discover    Amex
  33.  
  34.           Card Owner Name: _________________________________________
  35.  
  36.               Card Number: _________________________________________
  37.  
  38.                Expiration: _________________________________________
  39.  
  40.                 Signature: X________________________________________
  41.  
  42.  
  43.                   Ship To: (If different from above)
  44.  
  45.                      Name: _________________________________________
  46.  
  47.                   Address: _________________________________________
  48.  
  49.            City/State/Zip: _________________________________________
  50.  
  51.      For registering ViseoSys, you will receive the latest version 
  52.      of the software, customized with your store information along 
  53.      with a professionally bound User Guide.
  54.  
  55.