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Text File  |  1989-10-21  |  2KB  |  58 lines
  1.  
  2. LICENSE REGISTRATION FORM                Remit to:   Neil Clasen
  3.                                                      Attn: NCRisk Users
  4.                                                      18 Harmon Rd.
  5. INVOICE NUMBER: NCGA01-89170U-000002                 Scotia, N.Y.  12302
  6.  
  7. [  ]     I have tried NCRisk and do not wish to register now. I am just
  8.          enclosing information/suggestions/comments.
  9.  
  10. Quantity                      Description                             Amount
  11.  
  12. ________ Single user NCRisk license Registration only    $10.00 each _________
  13.  
  14. ________ Single user NCRisk license Registration and     $15.00 each _________
  15.          5.25" disk with latest version
  16. ________ Single user NCRisk license Registration and     $15.00 each _________
  17.          3.5" disk with latest version
  18.  
  19. Payment by:   [  ] Check     [  ] Money Order                 Total $_________
  20.  
  21. Name: ________________________________________________   Date: _______________
  22.  
  23. Address: _____________________________________________________________________
  24.  
  25.          _____________________________________________________________________
  26.  
  27. Phone Number(s): _____________________________________________________________
  28.  
  29. Obtained NCRisk via: _________________________________________________________
  30.  
  31. Registration Number as appears on the Help Screen: ___________________________
  32.  
  33. If ordering a new copy:
  34.      Name to appear as the registrant: _______________________________________
  35.  
  36. The following information is helpful:
  37.  
  38. Computer Maker: ___________________________   Model: _________________________
  39.  
  40. Operating System: _________________________   Version: _______________________
  41.  
  42. System Graphics: __________________________   Memory: ________________________
  43.  
  44. Computer is used for: ________________________________________________________
  45.  
  46. Favorite Software: ___________________________________________________________
  47.  
  48. Suggestions for other "User Support" software: _______________________________
  49.  
  50. ______________________________________________________________________________
  51.  
  52. Comments: ____________________________________________________________________
  53.  
  54. ______________________________________________________________________________
  55.  
  56. ______________________________________________________________________________
  57.  
  58.