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Text File  |  1992-08-15  |  2KB  |  59 lines

  1.                    GIFLIST Ver #1.1 REGISTRATION/ORDER FORM
  2.                    ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
  3.        
  4.        The asking price of GIFLIST is just $20.00 + S&H, however, as I 
  5.        stated in the doc file, send what ever you can afford + S&H.  The 
  6.        Shiping & Handling includes disk, material, postage and handling 
  7.        on all orders: $4.00 USA & Canada -or- $9.00 other countries. 
  8.           ~~~
  9.        Yes ... Please send me the Registered Version of GIFLIST.  I've 
  10.        inclosed the following amounts:
  11.             
  12.                                         GIFLIST ...: $__________
  13.             
  14.                                         S&H .......: $__________   
  15.             
  16.                                         ========================
  17.                                        
  18.                                         Total .....: $__________
  19.  
  20.        
  21.        Disk Size.......: 5¼" (   )  or  3½" (   )  Please check one.
  22.  
  23.        Please send the completed form along with payment by cash, check, 
  24.        or money order to: 
  25.  
  26.             Bob Lavine
  27.             7505 Fragancia Court 
  28.             Tampa, FL 33615-2418
  29.  
  30.        For all foreign orders, please send a check drawn on a US Bank, 
  31.        US Postal or International Money Order, Travelers Checks, or 
  32.        Cash, since banks charge up to $60 coll fee for foreign checks. 
  33.        
  34.        Personal Info:
  35.        ~~~~~~~~~~~~~~
  36.        
  37.        Name............: _______________________________________________ 
  38.        
  39.        Address.........: _______________________________________________ 
  40.        
  41.        City, State, ZIP: _______________________________________________ 
  42.        
  43.        Phone...........: (___) _________________________________________ 
  44.        
  45.  
  46.        Likes, Dislikes, & Bugs:
  47.        ~~~~~~~~~~~~~~~~~~~~~~~~
  48.  
  49.        _________________________________________________________________ 
  50.        
  51.        _________________________________________________________________ 
  52.        
  53.        _________________________________________________________________ 
  54.        
  55.        _________________________________________________________________ 
  56.        
  57.        _________________________________________________________________ 
  58.  
  59.