home *** CD-ROM | disk | FTP | other *** search
/ Black Box 4 / BlackBox.cdr / print / docprn.arj / REGISTER.FRM < prev    next >
Text File  |  1991-01-26  |  1KB  |  54 lines

  1.  
  2.  
  3.  
  4.  
  5.  
  6.  
  7.  
  8.                              DocPRINT Registration Form
  9.  
  10.  
  11.           Please fill out the applicable sections, enclose a check for
  12.           $10.00, and mail to::    Lawrence Belan, ][
  13.                                    P.O. Box 47
  14.                                    259 Fourth Ave.
  15.                                    Crucible, PA  15325-0047
  16.  
  17.  
  18.  
  19.           Date:               _______________________________________
  20.  
  21.           Name:               _______________________________________
  22.  
  23.           Address:            _______________________________________
  24.  
  25.                               _______________________________________
  26.  
  27.           City, State ZIP:    _______________________________________
  28.  
  29.           Phone Number:       _______________________________________
  30.  
  31.           CompuServe ID:      _______________________________________
  32.  
  33.           DocPRINT Version:   _______________________________________
  34.  
  35.           Receive From:       _______________________________________
  36.  
  37.           BBS Tele. Number    _______________________________________
  38.  
  39.  
  40.           Your Comments about DocPRINT:
  41.  
  42.  
  43.  
  44.  
  45.  
  46.  
  47.  
  48.  
  49.  
  50.  
  51.  
  52.  
  53.  
  54.                   Thank you for registering your copy of DocPRINT!