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Text File  |  1990-05-23  |  2KB  |  64 lines
  1.  
  2. Make all checks / send all correspondence to:
  3.  
  4.                           Dennis Moon
  5.                           4201 Autumn Lake Dr.
  6.                           Buford, GA  30518
  7.  
  8.  
  9.  
  10.  
  11. ____ DIS Registration ........................ @ $ 15.00 ea   $ ______
  12.  
  13. ____ USA shipping ............................ @ $  3.00 ea.  $ ______
  14.  
  15. ____ Outside USA and Canada shipping ......... @ $  5.00 ea.  $ ______
  16.  
  17.  
  18.                                              Total (U.S.Funds) $ ______
  19.                                              drawn on U.S.Bank
  20.  
  21. Please print:
  22.  
  23.  
  24. Name: _______________________________________________________________
  25.  
  26. Company _____________________________________________________________
  27.  
  28. Address: ____________________________________________________________
  29.  
  30. City: _______________________________________________________________
  31.  
  32. State: ____________________________  Zip Code:_______________________
  33.  
  34. Day Phone: _________________________ Eve: ___________________________
  35.  
  36. DIS Version Number: ________________
  37.  
  38.  
  39. I acquired DIS from
  40.         [ ] - Friend
  41.         [ ] - Computer Club
  42.         [ ] - Electronic BBS
  43.         [ ] - USENET  (UUCP)
  44.         [ ] - Other - Please Specify ________________________________
  45.  
  46.  
  47. We would appreciate any input you would care to give concerning DIS.
  48. If you have any ideas or comments that would make DIS a better
  49. program, then please let us know.
  50.  
  51. Comments and / or suggestions:
  52. ____________________________________________________________________
  53.  
  54. ____________________________________________________________________
  55.  
  56. ____________________________________________________________________
  57.  
  58. ____________________________________________________________________
  59.  
  60. ____________________________________________________________________
  61.  
  62. ____________________________________________________________________
  63.  
  64.