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Text File  |  1990-03-08  |  1KB  |  51 lines
  1.  
  2.  
  3.  Registration Form
  4.  
  5.  
  6.         TO:
  7.  
  8.             Jeff Dill
  9.             16 Berkeley Ave.
  10.             Portsmouth, RI  02871
  11.  
  12.             1-(401)-683-1513
  13.  
  14.  
  15.         FROM:
  16.  
  17.             Name:         __________________________________
  18.  
  19.             Company:      __________________________________
  20.  
  21.             Address:      __________________________________
  22.  
  23.             City, State:  __________________________________
  24.  
  25.             Zip Code:     __________________________________
  26.  
  27.             Phone Number: (______)__________________________
  28.  
  29.  
  30.         Software:
  31.             GoMon
  32.             GoCga
  33.             GoEga
  34.             GoShar
  35.  
  36.             Rev 1.00  8-MAR-1990
  37.  
  38.             Serial Number: _________________________________
  39.  
  40.  
  41.         Single System Use at $10.00                __________
  42.  
  43.         Rhode Island residents add 6% sales tax.   __________
  44.  
  45.         Total enclosed                             __________
  46.  
  47.  
  48.         Update Diskette format (choose one) 5.25" disk ____  3.5" disk ____
  49.  
  50.         Terms:  Check drawn on an U.S. banks in U.S. funds.
  51.