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Text File  |  1992-01-23  |  2KB  |  60 lines
  1.  
  2.  
  3.                                      PCForm
  4.                                   Version 2.3
  5.                            Software Registration Form
  6.           ____________________________________________________________
  7.  
  8.  
  9.           CareWare
  10.           10217 Ridge View Dr.
  11.           Grass Valley, CA  95945                  Date: _____________
  12.  
  13.  
  14.           Count          Description               Amount       Total
  15.           -----          -----------               ------       -----
  16.  
  17.           _____ PCForm registration only         $25.00 ea   $ _______
  18.  
  19.           _____ PCForm registration and latest   $30.00 ea   $ _______
  20.                 version on disk (includes Find
  21.                 File Utility)
  22.  
  23.                 Disk size:  ( ) 5 1/4"  (360K)
  24.                             ( ) 3 1/2"  (720K)
  25.  
  26.                 Please add $4.00 for disk shipping
  27.                 outside of U.S.  (first class air)           $ _______
  28.  
  29.  
  30.                                         Total submitted      $ _______
  31.  
  32.  
  33.           Name: ______________________________________________
  34.  
  35.           Address: ___________________________________________
  36.  
  37.                    ___________________________________________
  38.  
  39.                    ___________________________________________
  40.  
  41.           Phone: _____________________________________________
  42.  
  43.           Where did you find PCForm? _________________________
  44.  
  45.           ____________________________________________________
  46.  
  47.           Comments: __________________________________________
  48.  
  49.           ____________________________________________________
  50.  
  51.           ____________________________________________________
  52.  
  53.  
  54.           Please make payable to the author  -  R. J. Crouch
  55.  
  56.           ORDERS  OUTSIDE  OF  THE  U.S.  -  Please send international
  57.           money orders in U.S. dollars.
  58.  
  59.           Thank you for registering PCForm.
  60.