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Text File  |  1992-05-15  |  1KB  |  66 lines
  1.  
  2.  
  3.  
  4.  
  5.       Yes, I use BasicBasic and want to register.  I understand that
  6.       I will receive the next update to BasicBasic when it becomes
  7.       available.
  8.  
  9.              NAME: ________________________________________________
  10.  
  11.              ADDRESS: _____________________________________________
  12.  
  13.              CITY: ________________________________________________
  14.  
  15.              STATE: _________    ZIP: __________
  16.  
  17.  
  18.              DISKETTE SIZE REQUIRED:  ( ) 3 1/2     ( ) 5 1/4
  19.  
  20.              VERSION OF BasicBasic I have: _____________
  21.              (look on compiler first screen)
  22.  
  23.              Registration fee:    Before Sept 1, 1992:  $15.00
  24.                                 On or After this date:  $30.00
  25.  
  26.                       (Illinois residents add 6.25% sales tax)
  27.  
  28.              Make check or money order payable to: Mark Davidsaver
  29.  
  30.              Mastercard/Visa also accepted:
  31.  
  32.              Credit Card Number: __________________________________
  33.  
  34.              Expiration: ____________
  35.  
  36.              Signature: ________________________________  _________
  37.                                                            (date)
  38.  
  39.  
  40.              MAIL TO:    MARK DAVIDSAVER
  41.                          213 S. PARK STREET
  42.                          BISHOP HILL, IL  61419
  43.  
  44.                            or phone
  45.  
  46.                          (309) 927-3303
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