home *** CD-ROM | disk | FTP | other *** search
/ The Net Power 1997 October / NET_DISC.iso / mac / HTML / Issue / Smatic / Small / PRIOR1.ZIP / P1REGSTR.DOC < prev   
Text File  |  1992-08-21  |  2KB  |  56 lines

  1.                                 Registration Form
  2.         
  3.         Complete this form and mail along with your registration fee to:
  4.         
  5.                             DP Specialists, Inc.
  6.                             P.O. Box 43154
  7.                             Louisville, KY  40253-0154
  8.         
  9.         Company : _____________________________________________________
  10.         
  11.         Name    : _____________________________________________________
  12.         
  13.         Address : _____________________________________________________
  14.         
  15.                   _____________________________________________________
  16.         
  17.         City    : ____________________________________ State : ________
  18.         
  19.         Country : ____________________________________
  20.         
  21.         Zip     : ____________________ Telephone : (_____) ____________
  22.         
  23.         CompuServe subscriber user ID __________,______
  24.         
  25.         Where did you receive your evaluation copy ? __________________
  26.         
  27.         _______________________________________________________________
  28.         
  29.         Enhancements you would like to see : __________________________
  30.         
  31.         _______________________________________________________________
  32.         
  33.         Comments : ____________________________________________________
  34.         
  35.         _______________________________________________________________
  36.         
  37.         _______________________________________________________________
  38.         
  39.         Latest version of Priority 1 .........................$29.00
  40.         
  41.         Available Lists:   15 lists per catagory   
  42.         Catagories:
  43.         ____ Animals        ____ Finances       ____ Politics
  44.         ____ Baseball       ____ Home           ____ Religion
  45.         ____ Entertainment  ____ Manufacturing  ____ Sales
  46.         ____ Family         ____ Personal       ____ Sports
  47.          
  48.         ____ lists selected
  49.         - 1  free per registration 
  50.         ____ lists purchased at $3.00 each                _____________
  51.         
  52.                                                 Total     _____________
  53.         Disk size    5.25"_______   3.5"_______
  54.         
  55.         !!     PAYMENT MUST BE IN U.S. FUNDS, DRAWN ON A U.S. BANK.  !!
  56.