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Text File  |  1992-05-15  |  1KB  |  41 lines
  1.  
  2.  
  3.                                    Quotes! V1.00
  4.                                   REGISTRATION FORM
  5.                                   -----------------
  6.                                    (Please Print)
  7.  
  8.  Registered to:________________________________________________________________
  9.  
  10.  First Name :_____________________________ Last Name:_________________ MI:_____
  11.  
  12.  Address:___________________ City:________________ State:___ Postal Code:______
  13.  
  14.  Country:_____________________ Home Phone: (     )___________________
  15.  
  16.  BBS Name:______________________________ BBS Software: ________________________
  17.  
  18.  WHAT SIZE DISK DO YOU WANT THE PROGRAM SENT ON?:  [ ] 3 & 1/2"  [ ] 5 & 1/4"
  19.  
  20.                                                    (Please circle one)
  21.  
  22.                 USA or CANADA                            FOREIGN
  23.                 ~~~~~~~~~~~~~~~~~                    ~~~~~~~~~~~~~~~~
  24.                 QUOTES! : $ 10.00                    QUOTES! : $ 15.00
  25.  
  26.  
  27.        TOTAL            : $_______                    TOTAL  : $______
  28.  
  29.  
  30.  
  31.    PAYMENT BY CHECK OR MONEYORDER:
  32.  
  33.            Make out a check or money order in US FUNDS ONLY for the TOTAL and
  34.            mail it with this form to the following address:
  35.  
  36.                                IKARISOFT SOFTWARE
  37.                                c/o Dennis Ayala
  38.                                #9 Tornasol St. Muñoz Rivera
  39.                                Guaynabo, PR, 00969
  40.  
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