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Text File  |  1991-12-21  |  3KB  |  65 lines
  1. NOTE: THE REGISTER OPTION FROM THE PROGRAM WILL PRINT OUT THIS FORM WITH THE
  2.       INFORMATION ALREADY INSERTED INTO THE REGISTRATION FORM.
  3.  
  4.                           TakeHome REGISTRATION FORM
  5.                                ShareWare Source
  6.                                 S/N 92.02011.A
  7.  
  8.  
  9. TO:  TakeHome Software Products
  10.      R. G. Farnam
  11.      P. O. Box 333
  12.      Barker, TX  77413-0333
  13.  
  14.   Please register my copy of TakeHome under the ShareWare concept.  It is my
  15.   understanding that by registering, I will receive the most current version
  16.   of TakeHome and that I will be notified when upgrades become available.  I
  17.   will NOT distribute  the registered  version that I  receive which has the
  18.   ability to bypass ShareWare notices unless a site-license is obtained with
  19.   this registration.   If a site-license is obtained,  I will not distribute
  20.   more copies than the license allows.
  21.  
  22.                        Please Sign Here ______________________________________
  23.  
  24.  
  25. Registration For: _________________________________ /Name
  26.                   _________________________________ /Mailing Address
  27.                   _________________________________ /City, State, Zip
  28.  
  29. Telephone (Days): (___) ____-_________   (Used only if you need to be contacted
  30.       (Evenings): (___) ____-_________    concerning your registration.)
  31.  
  32.  ------------------------------------------------------------------------------
  33.  
  34. DESCRIPTION                           QUANTITY        PRICE          TOTAL
  35. ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~     ~~~~~~~~       ~~~~~~~        ~~~~~~~
  36. TakeHome Program (ver. 4.5)               1     x    $35.00   =    $ 35.00
  37. State/Local Customization(s) *           ___    x     10.00@  =     ______
  38. Site Licenses                            ___    x     20.00@  =     ______
  39. Optional Lotus 123 Worksheet **           1     x     10.00   =     ______
  40. Optional Shareware Version (Your S/N) **  1     x      5.00   =     ______
  41.  
  42. 3-1/2 inch media  720K  ___ -{Please                  Shipping
  43. 5-1/4 inch media  360K  ___ -{Check                   & Handling      5.00
  44. 5-1/3 inch media  1.2MB ___ -{One                                 ---------
  45.                Total                                               $______
  46.  
  47. Payment made with:  ( )Personal Check   ( )Cashier's Check   ( )Money Order
  48.  
  49. -------------------------------------
  50. * Customization requested for the following states/localities:
  51.  
  52.  
  53. ----------------------------------------------------------------------------
  54. COMMENTS ON PROGRAM?
  55.  
  56. _____________________________________________________________________________
  57.  
  58. _____________________________________________________________________________
  59.  
  60. _____________________________________________________________________________
  61.  
  62. _____________________________________________________________________________
  63. Quoted Prices are good for 1991 and may increase with future versions.
  64. ** See UPDATE.45 and COMISION.DOC for further explanation of these options.
  65.