home *** CD-ROM | disk | FTP | other *** search
/ JCSM Shareware Collection 1996 September / JCSM Shareware Collection (JCS Distribution) (September 1996).ISO / uother__ / 12600b01.ziv / ORDER.FRM < prev    next >
Text File  |  1994-05-14  |  4KB  |  55 lines
  1. *******************************************************************************
  2. *           Please register me to use 1 copy of GUARDSET 2.1           *
  3. *                                                                             *
  4. *     Name ______________________________________    Date __________________  *
  5. *                                                                             *
  6. *  Address ______________________________________                             *
  7. *                                                                             *
  8. *     City ___________________________ State ____ Zip __________              *
  9. *                                                                             *
  10. *  Diskette type (3-1/2" or 5-1/4"): _______________________________________  *
  11. *                                                                             *
  12. *  Version (check one): ___ Standard GUARDSET   ($30.00)    Check or money    *
  13. *                                                           order payable to  *
  14. *            ___ Customized GUARDSET ($120.00)   Gerald DePyper    *
  15. *                (Your own uniquely                      *
  16. *                 sequenced version                      *
  17. *                 for best security)                   *
  18. *                                          *
  19. *   I understand that this registration entitles me to use the standard copy  *
  20. *   of GuardSet on one PC, or the customized GuardSet on any number of PCs.   *
  21. *                                                                             *
  22. *-- For customized GUARDSET orders only: -------------------------------------*
  23. *                                                                             *
  24. *    Title to appear at the top of the GUARDSET screen. This can be up to 80  *
  25. *    characters long (usually a company name or personalized message):        *
  26. *                                                                             *
  27. *  _________________________________________________________________________  *
  28. *                                                                             *
  29. *    Special instructions or requests?  (e.g, you may want to arrange for me  *
  30. *    to send the program diskette itself in encrypted form, and call me re.   *
  31. *    password details, etc.). Only reasonable requests will be honored:       *
  32. *                                                                             *
  33. *  _________________________________________________________________________  *
  34. *                                                                             *
  35. *  _________________________________________________________________________  *
  36. *                                          *
  37. *                                                                             *
  38. *    Other customization request(s):  (Subject to negotiation)              *
  39. *                                                                             *
  40. *  _________________________________________________________________________  *
  41. *                                                                             *
  42. *  _________________________________________________________________________  *
  43. *                                                                             *
  44. *******************************************************************************
  45. *                                                                             *
  46. *   Mail to:       Gerald DePyper                                             *
  47. *                  901 W. Argyle, #5A                                         *
  48. *                  Chicago, IL 60640                                          *
  49. *                                                                             *
  50. *   CompuServe ID: 71041,703                                                  *
  51. *                                                                             *
  52. *   Phone:         312 / 907-8935                                             *
  53. *           800 / 741-9393                          *
  54. *******************************************************************************
  55.