Category : Communication (modem) tools and utilities
Archive   : GT1600A.ZIP
Filename : FORM.DOC

 
Output of file : FORM.DOC contained in archive : GT1600A.ZIP


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| |
| GT POWER |
| Registration Form |
| |
| |
| Date: __________ TO: P & M Software Co. |
| 3104 E. Camelback Rd. |
| #503 |
| Phoenix, AZ 85016 |
| U.S.A. |
| |
| FROM: Name: ________________________________________ |
| |
| Address: ________________________________________ |
| |
| ________________________________________ |
| |
| ________________________________________ |
| |
| Work Phone # (_____)_______________________ |
| |
| Home Phone # (_____)_______________________ |
| |
| |
| CHECK VERSION(S) OF GT POWER WANTED: |
| 1 selection no extra charge, additional selections, $7 each. |
| |
| 15.50 16.00 |
| ===== ===== |
| |
| _____ _____ PC, XT and clones (non-overlaid). |
| |
| _____ _____ PC, XT and clones (overlaid). |
| |
| _____ _____ AT/286 and clones (non-overlaid). |
| |
| _____ FOSSIL version for MSDOS compats (non-overlaid). |
| |
| |
| NOTE: Each selection above includes copies of GT and GTO. |
| |
| |
| CHECK DESIRED SELECTION(S): |
| |
| ____ Initial registration of GT POWER 16.00. |
| $70 U.S. suggested price for version 16.00 |
| |
| ____ Initial registration of GT POWER 15.50. |
| $50 U.S. suggested price for version 15.50 |
| |
| ____ Upgrade from 15.50 to 16.00 of GT POWER, $20 U.S. |
| |
| ____ Enter standing order. Available to credit card customers. |
| All releases sent automatically. Fees are charged just |
| before shipment of product. Bug fixes will be charged |
| a handling fee of $10, plus $5.00 postage for overseas. |
| Feature release will be charged at $20 each, plus $5.00 |
| postage for overseas. |
| |
| |
| PLEASE INDICATE SERIAL # AND VERSION OF PROGRAM YOU HAVE: |
| (Press ALT-J to display serial number.) |
| |
| Serial # ____01403____ Version # 16.00 |
| |
| |
| PLEASE INDICATE AMOUNT ENCLOSED: |
| |
| Base contribution amount .......... __________ |
| |
| Extra versions, add $7 per copy ... __________ |
| from check-list above. |
| |
| For 3.5" diskettes, add $5 ........ __________ |
| |
| Outside NORTH AMERICA, add $5 |
| for AIR MAIL postage ........... __________ |
| |
| Foreign Bank Draft Fee, add $7 |
| for banks outside of U.S. ...... __________ |
| |
| Total Enclosed (U.S. DOLLARS) ..... |
| ========== |
| |
| PLEASE INDICATE METHOD OF PAYMENT: |
| |
| If using credit card, please indicate your card no. and |
| expiration date. On MasterCard(r) include the Interbank No. |
| |
| ___ MasterCard(r) Interbank No. _____________ |
| ___ Visa |
| ___ Check Credit Card No. ____________________________ |
| ___ Money Order |
| Expiration Date _____________ |
| |
| Signature __________________________________ |
| |
| |
| Please DO NOT send cash. Send check, money order, or credit card |
| information. Your request will be filled promptly upon receipt. |
| |
| Customers residing outside of the United States of America should |
| submit payment in the form of a check drawn in U.S. DOLLARS on a |
| New York City bank or use one of the credit cards listed above. |
| |
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