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Text File  |  1994-07-01  |  2KB  |  56 lines

  1.  
  2.  
  3.                                     ENVED
  4.                          Environment Editor for DOS
  5.                                  Version 1.0
  6.  
  7.                               Registration Form
  8.  
  9.   To register your copy of ENVED, fill out the following form (PLEASE
  10.   PRINT) and mail it to the address shown below.  Enclose a check or money
  11.   order for the cost of the number of licenses purchased (at $5.95 per
  12.   license), plus $1.00 shipping and handling, payable to:
  13.  
  14.      Paul M. Parks
  15.      806 Club Place
  16.      Duluth, Georgia 30136-5013
  17.  
  18.   Please make all payment in U.S. funds only.
  19.  
  20.  
  21.              Name: __________________________________________________________
  22.  
  23.           Company: __________________________________________________________
  24.  
  25.           Address: __________________________________________________________
  26.  
  27.                    __________________________________________________________
  28.  
  29.              City: __________________________________________________________
  30.  
  31.    State/Province: ___________________________  ZIP/Postal Code: ____________
  32.  
  33.           Country: __________________________________________________________
  34.  
  35.  
  36.      Phone#   Day: ______________________  Evening: _________________________
  37.  
  38.    E-Mail Address: __________________________________________________________
  39.  
  40.  
  41.     # of Licenses: ___________ @ $5.95 per license for total of $____________
  42.  
  43.                            plus shipping and handling charge of $________1.00
  44.  
  45.                           Georgia Residents add 5% sales tax of $____________
  46.  
  47.                                                           TOTAL $____________
  48.  
  49.  
  50.   Medium (please check one) 3.5" floppy (1.44MB): _____   (720KB): _____
  51.  
  52.                             5.25" floppy (1.2MB): _____   (360KB): _____
  53.  
  54.  
  55.   Please enclose any comments or suggestions, and thank you for buying ENVED.
  56.