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Text File  |  1994-07-14  |  2KB  |  59 lines
  1.  
  2.                      
  3.                             
  4.                             DOOR Registration Form
  5.  
  6.  
  7.         
  8.         Wizard Maze 3D Registration                 $15.00  ___________
  9.  
  10.         SUMMATION! Registration                     $10.00  ___________
  11.         
  12.         Register both doors now and save 10%!         SAVE  ___________
  13.         
  14.         VA residents please add 4.5% sales tax.             ___________
  15.  
  16.                                                      Total  ___________
  17.        
  18.         Name___________________________________________________________
  19.  
  20.         Address________________________________________________________
  21.  
  22.         City____________________________  State______  Zip ____________
  23.  
  24.         Voice #______________________ Data #___________________________
  25.  
  26.         Fidonet Netmail address________________________________________
  27.  
  28.         Internet address_______________________________________________
  29.  
  30.         How did you obtain this door program?__________________________
  31.  
  32.         _______________________________________________________________
  33.         
  34.         Registration key information: Please type or print exactly the 
  35.         way it would appear in your configuration file!  Your key will
  36.         work with future versions of the door(s) you are registering!
  37.  
  38.         SYSOP Name_____________________________________________________
  39.  
  40.         BBS Name_______________________________________________________
  41.         
  42.         Send key via:  []Netmail      []Internet       []Postal Service
  43.         
  44.         Payment Method:  []VISA  []MasterCard  []Check  []Money Order
  45.         
  46.         Mail to:                  | Or:
  47.            First Vision Software  |  Voice Registration: (703) 964-6160
  48.            P.O. Box 287           |  Register by modem:  (703) 963-3878
  49.            Doran, VA 24612-0287   |   Enter Scripts Questionaire #1
  50.  
  51.         Card #____________________________  Expiration Date:_____/_____
  52.         
  53.         Name:_______________________ Signature:________________________
  54.         
  55.         Thank you for supporting the shareware concept!
  56.         
  57.         Please add any comments or suggestions you may have to the back 
  58.         of this form!
  59.