home *** CD-ROM | disk | FTP | other *** search
/ The Pier Shareware 6 / The_Pier_Shareware_Number_6_(The_Pier_Exchange)_(1995).iso / 005 / callb_28.zip / REGISTER.TXT < prev    next >
Text File  |  1994-09-16  |  2KB  |  64 lines
  1.                      REGISTRATION/ORDER FORM
  2.                 Indicate below the software desired:
  3.  
  4.     Item                                   Price           Total
  5.     ---------------------------------      --------        --------
  6.     MAKEBLTN.EXE Registration              $10.00          ________
  7.  
  8.     MAKEBLTN.C Source (Borland 3.1)        $25.00          ________
  9.  
  10.     REPORT.EXE Registration                $10.00          ________
  11.  
  12.     REPORT.C Source (Borland 3.1)          $25.00          ________
  13.  
  14.     DUSTATS.EXE Registration               $10.00          ________
  15.  
  16.     DUSTATS.C Source (Borland 3.1)         $25.00          ________
  17.  
  18.     PADLOADS.EXE Registration              $10.00          ________
  19.  
  20.     PADLOADS.BAS Source (PowerBASIC)       $25.00          ________
  21.  
  22.     SBGRELAY.BAS Source (PowerBASIC)       $10.00          ________
  23.  
  24.     BBS Security PAK Source (PPL)          $25.00          ________
  25.     (CALLBLOC, DUP-BLOC, CALLCHK, VULGARID)
  26.  
  27.     BULLCHK PPL Source                     $15.00          ________
  28.  
  29.     ANSR.PPE Registration                  $05.00          ________
  30.  
  31.     ANSR PPL Source                        $15.00          ________
  32.  
  33.     BOTHALL PPL Source                     $15.00          ________
  34.  
  35.     ALLCALL/ALLSTAT PPL Source             $15.00          ________
  36.  
  37.                                            TOTAL          $________
  38. Specify disk: 5.25": _____  3.5": _____
  39.  
  40. PAYMENT BY:
  41. Check/Money Order No.___________________ enclosed for $__________
  42.  
  43. OR CHARGE TO:  MasterCard ___ Visa ___  Expiration Date__________
  44.  
  45. Card Number:_____________________________________________________
  46.  
  47. Card Issued To:__________________________________________________
  48.  
  49. Signature:_______________________________________________________
  50.  
  51. MAILING ADDRESS:
  52.  
  53. Name:____________________________________________________________
  54.  
  55. Address:_________________________________________________________
  56.  
  57. City/State/Province:_____________________________________________
  58.  
  59. Country/Postal Code:_____________________________________________
  60.  
  61. Telephone (Voice/FAX/Modem):_____________________________________
  62.  
  63. MAIL TO:   A. Segura, 17002 Dorado Cir., Jacksonville, FL 32226
  64.