,-------------------------------, | PCT Product Registration Form |## `-------------------------------'## ################################# ,---------------------------------------------------------------------------, | PRODUCT NAME | RELEASE DATE | PRICE | # OF UNITS | SUB TOTAL | |---------------------------+--------------+-------+------------+-----------|## | Menu Master | 07-01-1992 | $20 | * = | $ |## |---------------------------+--------------+-------+------------+-----------|## | Tutor Master | 07-01-1992 | $20 | * = | $ |## |---------------------------+--------------+-------+------------+-----------|## | DOS Master | 07-01-1992 | $20 | * = | $ |## |---------------------------+--------------+-------+------------+-----------|## | Football History Database | 08-01-1992 | $20 | * = | $ |## |---------------------------+--------------+-------+------------+-----------|## | Pop/Rock Music Database | 09-01-1992 | $20 | * = | $ |## |---------------------------------------------------------------+-----------|## | | Sub Total | $ |## |---------------------------------------------------------------+-----------|## | | Sales Tax in NM 5.75% | $ |## |---------------------------------------------------------------+-----------|## | | Shipping in USA $3.00 | $ |## |---------------------------------------------------------------+-----------|## | | Shipping out of USA $6.00 | $ |## |---------------------------------------------------------------+-----------|## | | TOTAL | $ |## `---------------------------------------------------------------------------'## ############################################################################ ,---------------------------------------------------------------------------, | Order by Phone: (505) 821-4949 | | or by Prodigy ID: DKGV62A Disk Size: [ ] 5 1/4" [ ] 3 1/2" |## | |## | Credit Card Info: [ ] VISA [ ] MasterCard |## | Card #: _____ _____ _____ _____ Exp. Date: ___-___-___ |## | Signature: ________________________ |## | |## | Make Checks Payable to: Steve Green |## | or: Progressive Computer Technologies, Inc. |## | Ship to: 5100 Stream Ct. N.E. |## | Albuquerque, New Mexico 87113 |## | NOTE: Checks and Money Orders MUST be drawn on US banks in US funds. |## | |## | Name: ________________________________________ Prodigy ID: ___________ |## | |## | Company: ___________________________________ CompuServe ID: _______,_____ |## | |## | Address: ________________________________________________________________ |## | |## | City: ___________________ State: ____ Zip: _________ Country: ________ |## | |## | Where did you here about us: [ ] Prodigy [ ] CompuServe [ ] BBS |## | [ ] Disk Vendor [ ] Friend [ ] Magazine |## | Name: ____________________________________________ |## | Comments: _______________________________________________________________ |## | _______________________________________________________________ |## `---------------------------------------------------------------------------'## ############################################################################