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Text File  |  1991-09-02  |  2KB  |  80 lines
  1.  
  2.    ---------------------- EZ-Reader Upgrade Form ----------------------
  3.          Please support quality shareware with your registration.
  4.                       We thank you for your support.
  5.  
  6. Name     ___________________________________________________________________
  7.                        (Name you use when you log onto a BBS)
  8.  
  9. Your Serial Number: ________________________________________________________
  10.  
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  12. If your address has changed, please fill out  the following:
  13.  
  14. Address  ___________________________________________________________________
  15.  
  16.          ___________________________________________________________________
  17.  
  18.  
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  20.      [  ] Check or Money Order payable to Thumper Technologies
  21.           (Must in US Dollars!)
  22.  
  23.      [  ] MasterCard            Card Number: ________________________________
  24.  
  25.      [  ] Visa                   Expiration: ________________________________
  26.  
  27. Name     ___________________________________________________________________
  28.                          (Name on the credit card)
  29.  
  30.  
  31. Signature __________________________________________________________________
  32.                       (Needed for credit card orders)
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  38.  
  39.    ____ The latest EZ-Reader on 5.25 Diskette            $5.00      ______
  40.  
  41.    ____ The latest EZ-Reader on 3.50 Diskette            $7.50      ______
  42.  
  43.    ____ Oklahoma residents sales tax                       .25      ______
  44.  
  45.                                      (Must be in US Funds!)  Total  ______
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  57.     -------------------  INSTANT MAILER  ----------------------
  58.  
  59. Fold at the page break below with the printing facing out.  Then fold
  60. letter style, exposing the mailing address and hiding your information.
  61. If necessary, staple check to the mailer, then staple or tape sides and top.
  62.  
  63.  
  64. _________________________________                                     Place
  65.  
  66. _________________________________                                     Stamp
  67.  
  68. _________________________________                                     Here
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  73.                                          Thumper Technologies
  74.                                          Upgrade Order
  75.                                          Post Office Box 471346
  76.                                          Tulsa, Oklahoma
  77.                                          74147-1346
  78.                                          USA
  79. EZ-Reader 1.35
  80.