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Text File  |  1991-09-08  |  2KB  |  55 lines
  1. +===09/08/91=============================================+
  2. |     Finger Maps Version 1.01 User Registration Form    |
  3. +========================================================+
  4.          $$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$
  5.          <<<< 30-Day Money Back Guarantee >>>>
  6.          $$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$
  7.  
  8. o Registration Fee:  U.S. $15.00.                   $_____
  9.  
  10. o Shipping & handling:
  11. __ (5 1/4" diskette : U.S. $3.00, Foreign $5.00)
  12. __ (3 1/2" diskette : U.S. $4.00, Foreign $6.00)    $_____
  13.  
  14. No Foreign check please.  U.S. Check, Cash or
  15. Money Order payable to "POISSON TECHNOLOGY".  Total $_____
  16.  
  17. Address: 816 Gregory Court, Fremont, CA 94539, U.S.A
  18. Phone:510-623-1087    FAX:510-490-5865
  19.  
  20. ------------- REGISTERED USER INFORMATION ----------------
  21.  
  22. Date: ____/____/____      Telephone Number: ______________
  23.  
  24. Name:_____________________________________________________
  25.  
  26. Address:__________________________________________________
  27.  
  28. __________________________________________________________
  29.  
  30. City_______________________State____________Zip___________
  31.  
  32. Country_________________________
  33.  
  34. Printer Model: ________________
  35. IBM   PC___    XT____   AT____   PS/2___   Others:________
  36. Monitor: Hercules__  CGA__  EGA__ VGA__    Others:________
  37.  
  38. Obtained Finger Maps 1.01 from:
  39. Vendor Name:______________________________________________
  40. Telephone Number:_________________________________________
  41. Address:__________________________________________________
  42. __________________________________________________________
  43. City_______________________State____________Zip___________
  44. ==================== Comments ============================
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  51. ----------------------------------------------------------
  52. Return Policy:
  53. * product must be returned in original package.
  54. * shipping and handling charges not refundable.
  55.