home *** CD-ROM | disk | FTP | other *** search
/ Splashing Screensavers / SplashingScreensavers.iso / Screen2 / Atxmas / ORDER.TXT < prev   
Text File  |  1997-10-05  |  813b  |  36 lines
  1. "At The Office - Christmas Edition" Registration form
  2.  
  3. Cost:  by email, $10.00
  4.        by disk,  $10.00 + $1.50 postage/handling
  5.  
  6. First of all...thanks!  Just fill at the form and snail mail or email it.
  7.  
  8. Name__________________________________________
  9.  
  10. Address__________________________________________
  11.  
  12. City_____________________________State______Zip___________
  13.  
  14. Your email address
  15.  
  16. ______________________________
  17.  
  18. Paying by  ( )Check  (  )Credit Card
  19.  
  20. ( )Send on Disk  ( )Email me the registered copy
  21.  
  22.  
  23. Name on Credit Card_____________________________________
  24.  
  25. Credit Card Number______________________________________
  26.  
  27. Expiration Date______________________
  28.  
  29.  
  30. Make checks payable to:
  31.  
  32. Winning Edge Productions
  33. 16012 Daybreak Lane
  34. Beaverdam, VA  23015
  35.  
  36. Email:  coreydeitz@usa.net