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Text File  |  1991-06-24  |  2KB  |  60 lines
  1.    SPITFIRE REGISTRATION & ORDER FORM
  2.  
  3.    DATE______________________________
  4.  
  5.    REMIT TO: BUFFALO CREEK SOFTWARE
  6.              ATTN: Mike Woltz
  7.              913 - 39th Street
  8.              West Des Moines, Iowa 50265
  9.  
  10.                     **********  U.S. FUNDS ONLY!  **********
  11.  
  12.    ____Copy(s) SPITFIRE Registration (5 1/4 Disk(s)) $85.00 each Total $_______
  13.    ____Copy(s) SPITFIRE Registration (3 1/2 Disk(s)) $85.00 each Total $_______
  14.  
  15.    License to:
  16.  
  17.               First Name__________________________________________________
  18.  
  19.               Last Name___________________________________________________
  20.  
  21.               Mailing Address_____________________________________________
  22.  
  23.               City________________________________State_______Zip_________
  24.  
  25.               Voice# (_____)_______-_____________
  26.  
  27.               Data#  (_____)_______-_____________
  28.  
  29.               Your BBS Name_______________________________________________
  30.  
  31.               Type of modem & max baud rate_______________________________
  32.  
  33.               Modem initialization string used____________________________
  34.  
  35.               Type of system______________________________________________
  36.  
  37.               Public or private BBS_______________________________________
  38.  
  39.               List my BBS and number in SPITFIRE manual (yes/no)__________
  40.  
  41.               Who recommended SPITFIRE (if anyone)________________________
  42.  
  43.               Where did you obtain SPITFIRE_______________________________
  44.  
  45.               Current SPITFIRE Version No_________________________________
  46.  
  47.  
  48.                        PLEASE COMPLETE ONLY IF REGISTRATION FEE
  49.                       IS TO BE PAID BY A CREDIT CARD TRANSACTION:
  50.  
  51.               Credit card number:_ _ _ _  _ _ _ _  _ _ _ _  _ _ _ _
  52.  
  53.               Type of credit card:________________________________________
  54.                                   (Mastercard or VISA)
  55.  
  56.               Expiration Date:__-__-__
  57.  
  58.               Signature___________________________________________________
  59.  
  60.