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Text File  |  1988-09-03  |  1KB  |  26 lines

  1.                          NIFTY REGISTRATION FORM
  2.           INTEGRA COMPUTING, Box 72063, Marietta, GA  30007-2063
  3.  
  4.             Name __________________________________________________________
  5.          Address __________________________________________________________
  6.             City _________________  State ___  Zip _______  County ________
  7.        Firm Name __________________________________  Phone ________________
  8. I first heard of Nifty from _______________________________________________
  9.  
  10.    Please register me as a Nifty user.    I'll be using the
  11. program on no more than ___ computers at $50 each, totaling      $_____
  12.    Please also sign me up for ___ hou≥-long  blocks of phone
  13. support ($60/hour), to be used within 60 days, totaling          $______
  14.  
  15.                                                    Total Order   $______
  16.    ___% Sales Tax for ___________ county, if I'm a GA resident   $______
  17.  
  18.                                                  TOTAL ENCLOSED  $______
  19.  
  20. I have read and agree to the terms of the License, Disclaimer, and Agreement
  21. found near the end of the Nifty documentation.
  22.  
  23. _______________________________________                        _____________
  24. SIGNATURE                                                      DATE
  25.  
  26.