home *** CD-ROM | disk | FTP | other *** search
/ Cream of the Crop 1 / Cream of the Crop 1.iso / PROGRAM / SWAPUNIT.ARJ / REGISTER.ME next >
Text File  |  1992-01-20  |  2KB  |  55 lines

  1.  
  2.  
  3.  
  4.  
  5.         -----------------------------------------------------------------
  6.                         R E G I S T R A T I O N   F O R M
  7.         -----------------------------------------------------------------
  8.  
  9.          Print and complete this form to send with check or money order
  10.          in the amount of $35 (US dollars only) payable to KEVIN KWAST.
  11.          Mail to the address below, and thank you for your support; your
  12.          registration makes quality Shareware possible.
  13.  
  14.          Any of this information is optional.
  15.  
  16.  
  17.            Name: ____________________________________________________
  18.  
  19.            Company: _________________________________________________
  20.  
  21.            Address: _________________________________________________
  22.  
  23.            City: ____________________  State: _______  Zip: _________
  24.  
  25.            Area Code: _________  Phone: _____________________________
  26.  
  27.  
  28.  
  29.            Computer Type: ___________________________________________
  30.  
  31.            Turbo Pascal Version: ___________________  Modem? ________
  32.  
  33.            Other Languages You Use: _________________________________
  34.  
  35.            Disk Size Preferred:   [___] 5.25 inch     [____] 3.5 inch
  36.  
  37.  
  38.  
  39.            Where Did You Get SWAPUNIT: ______________________________
  40.  
  41.            What Do You Think: _______________________________________
  42.  
  43.            What Will It Be Used For: ________________________________
  44.  
  45.  
  46.  
  47.  
  48.          You can contact me for registration or support:
  49.  
  50.                       Kevin A. Kwast
  51.                       P. O. Box 1397
  52.                       Coppell, Texas
  53.                               75019
  54.  
  55.