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Text File  |  1993-08-29  |  1KB  |  42 lines

  1. PRODUCT REGISTRATION FORM 
  2. BusCd Driver for Windows NT     Name:  _________________________________
  3.  
  4.                      Company/Address:  _________________________________
  5.  
  6.                                        _________________________________
  7.  
  8.                                        _________________________________
  9.  
  10.                                        _________________________________
  11.  
  12.                                        _________________________________
  13.  
  14.                Your Telephone Number:  _________________________________
  15.                                        (include area/country code)
  16.  
  17.                Your E-Mail Address:    _________________________________
  18.  
  19.  
  20.                Disk Media, check one:  [ ] 5.25"  [ ] 3.5" [ ] E-Mail
  21.  
  22.                         Date Ordered:  Month ________  Day _____  Year ______
  23.  
  24.  
  25. Price Calculation   Registration Fee:  DM 30.00 / $20.00
  26. -----------------
  27.  
  28.                Shipping and Handling:  ___________  DM 10.00 / $10.00
  29.                             free with E-Mail!
  30.                                                   
  31.                           Total Cost:  ___________
  32.  
  33.  
  34. Send this form to:
  35.  
  36.    Bernd Edlinger
  37.    Riesstrasse 67/VI                    CompuServe: 100273,334
  38.  
  39.    80997 Muenchen
  40.    Germany
  41.  
  42.