home *** CD-ROM | disk | FTP | other *** search
/ PsL Monthly 1993 December / PSL Monthly Shareware CD-ROM (December 1993).iso / prgmming / win / vb / insight.exe / ORDER.FRM < prev    next >
Encoding:
Text File  |  1992-10-22  |  1.1 KB  |  54 lines
  1.               BASIC Insight Registration/Order Form
  2.               -------------------------------------
  3.  
  4.  
  5. To register your copy of BASIC Insight, please send $30 for each
  6. copy to:
  7.  
  8.                        McKelvy Enterprises
  9.                        3149 Bradford Place
  10.                        Birmingham, AL  35242
  11.  
  12.  
  13.  
  14. Please send ______ copy(copies) of the latest version of BASIC
  15. Insight to:
  16.  
  17.  
  18. Name: _____________________________________________________________
  19.  
  20.          
  21. Company:___________________________________________________________
  22.  
  23.          
  24. Address:___________________________________________________________
  25.  
  26.  
  27. City:__________________________________ State:____ Zip:____________
  28.  
  29.  
  30. Telephone: (______) ______-__________
  31.  
  32.           
  33.  
  34. A check for $____________ ($30 per copy) is enclosed.
  35.  
  36.  
  37. Disk Format:  __ 3.5"    or  __ 5.25"
  38.  
  39.  
  40. I got my Shareware copy from: _____________________________________
  41.  
  42.  
  43.  
  44.  
  45. For quantity discounts and site license information, you may 
  46. contact us at the above address or on CompuServe, (ID: 71477,3513).
  47.  
  48.  
  49.  
  50.  
  51.  
  52.  
  53.  
  54.