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The Pier Shareware 6
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The_Pier_Shareware_Number_6_(The_Pier_Exchange)_(1995).iso
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035
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scsvr101.zip
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register.frm
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1994-11-26
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5KB
|
60 lines
+----------------------------------------------------------------------------+
| Screen Saver Registration Form, Version 1.01A |
| |
| Please send your registration information (this form filled out) and |
| a check or money order for $10 to the following address: |
| |
| Vincent Greene |
| 200 N Melanie Lane |
| Tucson, AZ 85710 |
| |
| Please make all checks out to "Vincent Greene." |
| |
| If possible, please draw checks on a U.S. Bank in U.S. Funds. |
|----------------------------------------------------------------------------|
| |
| Your Name: _______________________________________________________ |
| |
| Address: _______________________________________________________ |
| |
| _______________________________________________________ |
| |
| City: ________________________________ State: ______________ |
| |
| Zip or Postal Code: _________________ Country: ______________ |
| |
| |
| OPTIONAL: (To be used in case of support needs) |
| |
| Home Phone: ____________________ Work Phone: ___________________ |
| |
| Email: _______________________________________________________ |
| |
| Note: If an Email address is provided, I will send your registration |
| information via Email and regular snail mail. I will also add |
| your Email address to a list to receive product updates and |
| other useful notices via Email. |
|----------------------------------------------------------------------------|
| The following information is optional and will only be used to determine |
| which BBS, FTP sites, and distributors should be provided with product |
| updates. |
| |
| Where did you get a copy of Screen Saver: ________________________ |
| |
| ____________________________________________________________________ |
| |
|----------------------------------------------------------------------------|
| Suggestions: |
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+----------------------------------------------------------------------------+