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Text File  |  1992-04-23  |  2KB  |  55 lines
  1. GSIP V1.0
  2. Registration Form
  3. ________________________________________________________________
  4.  
  5. Program Registration only -------- Qty.____ @12.00 ea. = _______ 
  6.  
  7. Program Registration + 5 1/4 Disk  Qty.____ @15.00 ea. = _______ 
  8.  
  9. Program Registration + 3 1/2 Disk  Qty.____ @16.00 ea. = _______ 
  10.  
  11.  
  12.                                                  Total = _______
  13.  
  14.      Send this form and Check or Money Order Only to:
  15.  
  16.      Douglas Stamer
  17.      6840 Rochelle Dr.
  18.      Plano, Texas 75023
  19.      
  20.      Allow 2-3 weeks for delivery of disks if ordered.
  21.  
  22.      Your Name:_________________________________________________
  23.  
  24.      Address:___________________________________________________
  25.  
  26.      City:___________________ State:_____________ Zip:__________
  27.  
  28.      Phone:_____-_______-_______
  29.  
  30.      Signature:________________________      Date:____-____-____
  31.  
  32.      
  33.      Your computer components compatible with this program:
  34.                
  35.      Monitor:_________________________________(make/model)
  36.      Printer:_________________________________
  37.      Mouse:___________________________________
  38.  
  39.      Where did you get GSIP from (BBS(which one),friend,etc):
  40.  
  41.      ___________________________________________________________
  42.      
  43.      Comments or problems for future versions of this program:
  44.  
  45.      ___________________________________________________________
  46.  
  47.      ___________________________________________________________
  48.  
  49.      ___________________________________________________________
  50.  
  51.      ___________________________________________________________
  52.  
  53.  
  54.                          Thank you for your support.
  55.