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Text File  |  1994-03-24  |  3KB  |  55 lines
  1. PRODUCT REGISTRATION FORM 
  2. Mega Edit (TM) Version 2.11     Name:  _________________________________
  3. (REG_FORM.TXT)
  4.                      Company/Address:  _________________________________
  5.  
  6.                                        _________________________________
  7.  
  8.                                        _________________________________
  9.  
  10.                Your Telephone Number:  _________________________________
  11.                                        (include area/country code)
  12.  
  13.                Disk Media, check one:  [ ] 5.25"  [ ] 3.5"
  14.  
  15. Registration Name (Capitalization and Punctuation will be exactly as listed)
  16. -----------------
  17.                 Your Name (required):  _________________________________
  18.  
  19.         Company/Org. Name (optional):  _________________________________
  20.  
  21. Credit Card Orders      Please Check:  [ ] MasterCard  [ ] Visa  [ ] JCB
  22. ------------------                     [ ] American Express  [ ] Discover 
  23.                                        [ ] Carte Blanche  [ ] Diners Club
  24.                   
  25.                   Credit Card Number:  _________________________________
  26.                      
  27.                      Expiration Date:  Month ________  Year ______
  28.  
  29.               Cardholder's Signature:  _________________________________
  30.              (for Mail or Fax orders)
  31.  
  32. Price Calculation   Single User Registration Fee:  $35.50
  33. -----------------
  34.                    (Please see SITE.TXT for multiple user fees)
  35.  
  36.                     Registration Fee:  ___________
  37.  
  38.     Kentucky residents add Sales Tax:  ___________
  39.                                                     $3.50 Unites States
  40.                Shipping and Handling:  ___________  $5.00 Canada & Mexico
  41.                                                     $9.00 Other countries
  42.                           Total Cost:  ___________
  43.  
  44. Checks or Money orders:  Make payable in U.S. currency on a U.S. bank. 
  45. Credit card payments may be sent via mail, E-Mail, FAX, or telephone.
  46.  
  47.    Computer Witchcraft, Inc.            Internet:   megaedit@witchcraft.com
  48.    P.O. Box 4189                        CompuServe: 76130,1463
  49.    Louisville, KY 40204                 Fax:        (502) 589-7300
  50.    U.S.A.                               Telephone:  (502) 589-6800
  51.                                                     (800) 589-5999
  52. How did you receive your copy of Mega Edit (TM)?    -- Thanks!
  53. [ ] CompuServe  [ ] BIX  [ ] Genie  [ ] AOL  [ ] Other BBS __________________
  54. [ ] Catalog ______________________  [ ] Other _______________________________
  55.