home *** CD-ROM | disk | FTP | other *** search
/ Cream of the Crop 1 / Cream of the Crop 1.iso / DIAG / HTLITE10.ARJ / REGISTER.DOC < prev    next >
Text File  |  1992-06-01  |  3KB  |  66 lines
  1.                           HighTest Lite (tm)
  2.                           Registration Form
  3.  
  4.  
  5. Shareware users may upgrade their copy of HighTest Lite (tm) to 
  6. HighTest by completing this registration form and returning it with 
  7. payment to Intelligent Devices Corporation by mail or by fax.  Or, 
  8. call IDC at (714) 920-9551 for VISA/MC orders.
  9.  
  10.                             Please Print!
  11.  
  12.                       (or better yet, use a word
  13.                       processor to edit this file)
  14.  
  15. Product                                     Each     Quantity     Total
  16. -----------------------------------------  -------   --------    -------
  17. HighTest                                   $ 20.00
  18. ------------------------------------------------------------------------
  19. HighTest Plus                              $ 79.95
  20. ------------------------------------------------------------------------
  21.                                                         Total:
  22.                                                                 --------
  23.                      Shipping $3.00 each (HighTest Plus Only):
  24.                                                                 --------
  25.                                                      Subtotal:
  26.                                                                 --------
  27.                        Tax: 7.75% (California residents only):
  28.                                                                 --------
  29.                                                         Total:
  30.                                                                 --------
  31. ========================================================================
  32.  
  33.    Name: _______________________________________________________________
  34.  
  35. Company: _______________________________________________________________
  36.  
  37. Address: _______________________________________________________________
  38.  
  39.          _______________________________________________________________
  40.  
  41.    City: ______________________________ Prov/State: ____________________
  42.  
  43. Postal Code/Zip: ______________________  Country: ______________________
  44.  
  45. Teleph.: _______________________________________________________________
  46.  
  47. ========================================================================
  48.  
  49. Payment Method:  Check [  ]   Visa: [  ]   MasterCard: [  ]
  50.                        Important: No personal checks
  51.  
  52.  Cardholder Name: (Print) ______________________________________________
  53.  
  54.       Card Number: _______________________________ Expire Data: ________
  55.  
  56.    Your Signature: _____________________________________________________
  57.  
  58. Your Printed Name: _____________________________________________________
  59.  
  60. ========================================================================
  61.  
  62. Send To:      Intelligent Devices Corporation
  63.               112 Harvard Ave., Suite 295
  64.               Claremont, CA  91711
  65.               USA
  66.