home *** CD-ROM | disk | FTP | other *** search
/ JCSM Shareware Collection 1993 November / JCSM Shareware Collection - 1993-11.iso / cl280 / ezbankgj.lzh / EB_DSK_A.EXE / REGISTER.DOC < prev    next >
Text File  |  1992-06-28  |  2KB  |  62 lines
  1.  
  2.               EASY BANKING SOFTWARE   -   REGISTRATION REQUEST
  3. ______________________________________________________________________________
  4.  
  5.      Please check the appropriate box, enclose a check for the
  6.      total amount and mail to:
  7.                           THE DUROL COMPANY
  8.                       5825 MALVERN AVE.
  9.                       BURNABY, BC V5E 3E6, CANADA
  10.                                   Phone (604) 524-1765 Fax (604) 574-0695
  11.  
  12.           Please send;
  13.       __
  14.      |__|  Registration and latest "EASY BANKING"
  15.              Software Disks (2)
  16.              with MANUAL ON DISK         $28.50   
  17.                                      plus postage    $ 2.50   
  18.                                                               ---------
  19.                 (or)                 TOTAL $
  20.       __                                                  =========
  21.      |__|  Registration and latest "EASY BANKING"
  22.              Software Disks (2)
  23.              with PRINTED MANUAL         $28.50   
  24.                                      plus postage    $ 3.50
  25.                                                               ---------
  26.                              TOTAL $  
  27.                                                               =========
  28.      NAME:______________________________________
  29.  
  30.      COMPANY:____________________________________________
  31.  
  32.      ADDRESS:______________________________________________________
  33.  
  34.      CITY,_________________________________________________________
  35.  
  36.          STATE/PROV.________________, ZIP/POSTAL CODE:_________________
  37.  
  38.      DAYTIME TELEPHONE:  (_____)___________ FAX: (_____)___________
  39.  
  40.          SIGNATURE:____________________________________________________
  41.  
  42.                        __        __          __        __
  43.          DISK TYPE -  MEDIA = |__| DSDD |__| DSHD   |__| DSDD |__| DSHD
  44.                   SIZE  = |__| 5.25" Disk       |__| 3.5"  Disk  
  45.  
  46.      RECEIVED SHAREWARE COPY FROM: ________________________________
  47.  
  48.          ______________________________________________________________ 
  49.  
  50.  
  51.      COMMENTS: (likes, dislikes, additional feature suggestions?)
  52.  
  53.      ______________________________________________________________
  54.  
  55.      ______________________________________________________________
  56.  
  57.      ______________________________________________________________
  58.  
  59.      ______________________________________________________________
  60.  
  61.  
  62.