Eagle Shareware Associates 1989 Registration Form
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         SEND TO: P.O. Box 159  Gilbertsville, PA 19525-0159
                              Thanks.

Name:__________________________________________________________

Address: ______________________________________________________       

Product Name: ____________________  Version: ______  AMT $_____

Your Display Type:     Hercules  CGA  EGA  MDA  VGA  Other:
BIOS Mfr & Date:_______________________
Your Computer Type:    XT/V20/8088(6)  AT/286  AT/386  Other:
Your Hard Disk Type:   ______ MB    ___ Partitions   _____ms Access Time
Your occupation (optional): __________________________________

YOUR *PASSWORD* FOR USE ON THE ESA TECH SUPPORT BBS:_____________

Source you picked up program from: ___________________________
Phone# for that BBS:__________________________  (if applicable)

Please describe any unusual drivers in your config.sys file (if possible)



For an additonal $10, custom hetkeys are available.  Describe below:

ALT+ ______  --
ALT+ ______  --

Please provide us with your comments & suggestions:





                 * BBS TECH SUPPORT (215)-367-4053 *
       
----------------[Do not write below this line please]---------------------

                EZMENU 1.xx         NOAH 2.00 (PKSHELL)

DATE REC'D __________                 ACCT: _______   BY: ____________