home *** CD-ROM | disk | FTP | other *** search
/ Games of Daze / Infomagic - Games of Daze (Summer 1995) (Disc 1 of 2).iso / x2ftp / msdos / libs / wgraf102 / order.frm < prev    next >
Text File  |  1991-01-30  |  2KB  |  52 lines
  1.    Warp Graphics Library version 1.02              Registration Form
  2.    -----------------------------------------------------------------
  3.      Make checks payable to:
  4.        Trevor Bell
  5.        P.O. Box 4173
  6.        Redondo Beach, CA  90278
  7.    -----------------------------------------------------------------
  8.  
  9.    Qty
  10.  
  11.    ___ Warp Graphics Source Code              @ $50 each     $______
  12.  
  13.                                                 Subtotal     $______
  14.  
  15.        Shipping and handling - inside the United States        $3.50
  16.                                                               - or -
  17.                              - overseas                        $5.00
  18.  
  19.                                                      Total   $______
  20.  
  21.      Diskette type (check or circle one):   [ ] 5.25"  [ ] 3.5"
  22.  
  23.      Payment: (check or circle one):
  24.  
  25.      [ ] Check  [ ] Money Order
  26.  
  27.  
  28.    Checks and Money Orders must be drawn on U.S. banks in U.S. funds
  29.    -----------------------------------------------------------------
  30.  
  31.          Name_______________________________________________________
  32.  
  33.       Company_______________________________________________________
  34.  
  35.       Address_______________________________________________________
  36.  
  37.              _______________________________________________________
  38.  
  39.         Phone_________________________  Bus.________________________
  40.  
  41.     Where did you obtain the Warp Graphics Library?
  42.  
  43.              _______________________________________________________
  44.  
  45.      Comments_______________________________________________________
  46.  
  47.              _______________________________________________________
  48.  
  49.              _______________________________________________________
  50.  
  51.    -----------------------------------------------------------------
  52.