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Text File  |  1989-06-01  |  4KB  |  48 lines
  1.  
  2.      ------------------------------------------------------------------------
  3.      [                           Giftbase 1.1                               ]
  4.      [                         Registration Form                            ]
  5.      [                                            Bob Nance                 ]
  6.      [   Date: __________                    TO:  NEWLIFE Software          ]
  7.      [                                            240E Myrtle Greens Dr.    ]
  8.      [                                            Conway,  SC  29526        ]
  9.      [                                                                      ]
  10.      [   FROM:     Name: ____________________________________________       ]
  11.      [                                                                      ]
  12.      [          Company: ____________________________________________       ]
  13.      [                                                                      ]
  14.      [          Address: ____________________________________________       ]
  15.      [   City, State,                                                       ]
  16.      [   Prov, Country, Zip: ________________________________________       ]
  17.      [                                                                      ]
  18.      [   Phone 1(____)____-______            Phone 2(____)____-______       ]
  19.      [   Circle: home bus. voice data fax    home bus. voice data fax       ]
  20.      [                                                                      ]
  21.      [   HOW DID YOU GET IT  : __________________________________           ]
  22.      [                                                                      ]
  23.      [   IF BBS, NAME & PHONE: __________________________________           ]
  24.      [                                                                      ]
  25.      [                                                                      ]
  26.      [   GIFTBASE Full Registration with printed manual    $   50.00 US     ]
  27.      [   GIFTBASE Full Registration w/ manual on diskette  $   35.00 US     ]
  28.      [      Circle one:                                                     ]
  29.      [      5 1/4:  360K   1.2M     3 1/2:  720K                            ]
  30.      [                                                                      ]
  31.      [   GIFTBASE Bare Bones Registration                  $   20.00 US     ]
  32.      [                                                                      ]
  33.      [                                                                      ]
  34.      [   Optional SECURITY (add $25.00)..................   __________      ]
  35.      [   (On full registrations(see SECURITY.DOC))                          ]
  36.      [                                                                      ]
  37.      [                            Subtotal...............   __________      ]
  38.      [                                                                      ]
  39.      [             SC residents add 5% sales tax.........   __________      ]
  40.      [                                                                      ]
  41.      [                            Total..................   __________      ]
  42.      [                                                                      ]
  43.      [                                                                      ]
  44.      [         Please DO NOT send cash.  Send check or money order.         ]
  45.      [          Your request will be filled promptly upon receipt.          ]
  46.      ------------------------------------------------------------------------
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