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Text File  |  1996-02-10  |  2KB  |  55 lines
  1.             File Read Registration Form
  2. -------------------------------------------------------------------------------
  3.  
  4. Your Name: _____________________________________________
  5.  
  6. Note:    Type/print your name and company below EXACTLY as it appears
  7. in the Registration dialog in the Help Menu of the Application.
  8.  
  9. Registration Dialog Name:
  10.  
  11.      _____________________________________________
  12.  
  13. Registration Dialog Company:
  14.  
  15.      _____________________________________________
  16.  
  17. Please type or print clearly the following information:
  18.  
  19. Address: __________________________________________________________
  20.  
  21. City: _________________________________  State: _____  Zip: _______
  22.  
  23. E-Mail Address: _______________________________
  24.  
  25. Check the programs you wish to Register.
  26.  
  27. File Read:                _____  $15.00
  28. Find String:                _____  $15.00
  29. HTML Merge:                _____  $20.00
  30. Search/Replace String:            _____  $15.00
  31. Set Text File Line Break:        _____  $10.00
  32. Touch File Date/Time:            _____  $10.00
  33. Both Search/Replace & Find String:    _____  $25.00
  34. Both Search/Replace & HTML Merge:    _____  $30.00
  35.  
  36. I have enclosed a 
  37. ___ Check    ___Money Order        (Check One)
  38.  
  39. Preferred Registration Code delivery:
  40. ___ Mail    ___ E-mail    (Check One)
  41.  
  42. Please include a self addressed envelope for mail delivery to speed
  43. up the response.
  44. _____________________________________________________________________
  45. Please make checks payable to Richard Floersch.
  46. Mail this form and your check or money order to:
  47.  
  48. Richard Floersch
  49. 7307 W 89th Terr
  50. Overland Park, Ks    66212
  51. _____________________________________________________________________
  52.  
  53.  
  54.  
  55.