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The Best of Select: Games 3
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register.doc
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Text File
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1994-08-01
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3KB
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58 lines
Registration form for:
BATTLE CHARGE 1.03 <ASP>
Copyright 1993, 1994 by Gene Brown
Registration Information (Please complete where applicable)
┌───────────────────────────────────────────────────────────────────┐
│ Name: │
├───────────────────────────────────────────────────────────────────┤
│ Company: │
├───────────────────────────────────────────────────────────────────┤
│ Address: │
├────────────────────────────────┬──────────────┬───────────────────┤
│ City: │ State: │ Zip: │
├────────────────────────────────┴──────────────┴───────────────────┤
│ Country: │
├──────────────────────────────────┬────────────────────────────────┤
│ Phone: │ CompuServe ID: │
└──────────────────────────────────┴────────────────────────────────┘
Description Cost/Unit Qty Cost
┌──────────────────────────────────────────┬─────────┬─────┬────────┐
│ Disk Label & Quick Ref Chart │ $12 │ │ │
├──────────────────────────────────────────┼─────────┼─────┼────────┤
│ 3.5" Labeled Disk & Quick Ref Chart │ $15 │ │ │
├──────────────────────────────────────────┼─────────┼─────┼────────┤
│ 5.25" Labeled Disk & Quick Ref Chart │ $15 │ │ │
└──────────────────────────────────────────┴─────────┴─────┼────────┤
Subtotal: │ │
├────────┤
Minnesota residents add 6% sales tax: │ │
├────────┤
Total: │ │
└────────┘
When sending a check or money order (drawn from a U.S.A. bank and in
U.S.A. funds), make it payable to Gene Brown.
Send registration with payment to:
Gene Brown
Cold Water Software
P.O. Box 44421
Eden Prairie, MN 55344-1421
(Please allow 2-3 weeks for delivery within the U.S.A.)