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register.txt
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1993-06-25
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2KB
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58 lines
Registration Form
Quantity ________ x $ 25.00 = $ ________
Georgia Residents please add 6% sales tax $ ________
Total $ ________
Please include a Check or Money Order made payable to MicroWerks.
We can only accept checks drawn on a US bank and in US funds.
Name _______________________________________________
Company _______________________________________________
Address _______________________________________________
_______________________________________________
_______________________________________________
Phone _______________________________________________
I have read and agree to abide by the license agreement:
Signature _____________________________________________
Where did you get CdBase? ___________________________
If you received CdBase from a BBS, what is its complete name and
phone number?___________________________________
_________________________________________________________
Please include any comments or suggestions on the lines which follow.
Use an additional page if necessary.
_________________________________________________________
_________________________________________________________
_________________________________________________________
_________________________________________________________
_________________________________________________________
_________________________________________________________
_________________________________________________________
_________________________________________________________
For information about volume discounts, site licenses, and technical
questions please contact MicroWerks.
Mail this form to: MicroWerks
P.O. Box 768273
Roswell, GA 30076-8273