------------------------------------------------------------------------------- FLU_SHOT+ (V1.7) Registration Please fill out this form, then mail it along with a check for $14 ($10 Registration, $4 Shipping/Handling/Processing) (or more!) to: Ross M. Greenberg Software Concepts Design 594 Third Avenue New York, New York 10016 Thanks for your support! Name:_________________________________________________________ Title:________________________________________________________ Company:______________________________________________________ Address:______________________________________________________ ______________________________________________________ City: _____________________ State: _________ Zip:______ Telephone:__________________________________ Comments and Suggestions:____________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ Where did you get FLUSHOT+ (V1.7) from? (check one, fill in the blank): [__] User Group (which one:________________________________________) [__] BBS (Name:_______________________)(Tel #:_____________________) [__] Other (Such as:________________________________________________) Please send me more information on: [__] RamNet, the background communications program [__] The Programmer's Co_operative -------------------------------------------------------------------------------