home *** CD-ROM | disk | FTP | other *** search
/ BBS in a Box 2 / BBS in a box - Trilogy II.iso / Files / Game / N-P / Pythagoras / Registration Form < prev   
Encoding:
Text File  |  1993-04-10  |  1.6 KB  |  44 lines  |  [TEXT/ttxt]
  1.                             ******* REGISTRATION FORM *******
  2.  
  3. Program Name : Pythagoras
  4. Version : 1.0
  5.  
  6. Name _______________________________________________________
  7. Organization _________________________________________________
  8. Mailing Address
  9. ___________________________________________________________
  10. ___________________________________________________________
  11. ___________________________________________________________
  12. ___________________________________________________________
  13. Phone (____)____-______(work), (____)____-______(home)
  14. Fax     (____)____-______
  15. E-mail address (if any) ___________________________________
  16.  
  17. Where did you get a copy of this program?
  18. ___________________________________________________________
  19. What kind of Macintosh do you have?
  20. ___________________________________________________________
  21. Do you have comment?
  22. ___________________________________________________________
  23. ___________________________________________________________
  24. ___________________________________________________________
  25. ___________________________________________________________
  26. ___________________________________________________________
  27.  
  28. Do you want the program(s) in a diskette? (If yes, add $2.00.) __________
  29.  
  30. Are you a registered user of other programs written by S. T. Han? _______
  31. If yes, list the name of programs.
  32. ___________________________________________________________
  33.  
  34. Shareware fee enclosed/paid ____________________________________
  35.  
  36. Signature (not required) ________________________________________
  37. Date _______________________________________________________
  38.  
  39. Send this form to:
  40. S. T. Han
  41. 445 Waupelani Dr. D-9
  42. State College, PA 16801
  43. U. S. A.
  44.