home *** CD-ROM | disk | FTP | other *** search
/ Wayzata's Best of Shareware PC/Windows 1 / Wayzata's Best of Shareware for PC-Windows - Release 1 - Wayzata Technology (1993).iso / mac / WINDOWS / GRAPHICS / PMAN151 / FORM.TXT < prev    next >
Text File  |  1993-01-06  |  661b  |  27 lines
  1.                    REGISTRATION FORM
  2.              Picture Man for Windows ver. 1.51
  3.  
  4.  
  5. NAME______________________________________________
  6.  
  7. STREET____________________________________________
  8.  
  9. CITY______________________________________________
  10.  
  11. STATE_________________________     ZIP____________
  12.  
  13. E_MAIL ADDRESS____________________________________
  14.  
  15. TELEPHONE NUMBER_____________________
  16.  
  17.  
  18. Picture Man license number...................$49.00______
  19.  
  20.  
  21.  
  22. Please mail this form with check or money order in US $ to :
  23.   Alexander Miroshnichenko
  24.   15918 Indian Hill Terrace,
  25.   DERWOOD, MD 20855
  26. Allow 7 business days for personal check clearing.
  27.