AUTOSCAN 3.1 REGISTRATION FORM

  1) TYPE : Copy register.now prn...
  2) Fill in any needed lines...
  3) Mail this flyer along with a Check or MoneyOrder in the amount of
     $10.00 US Dollars and payable to Nick Tucker sent it to the address
     below...
  4) Once your Check/Moneyorder has cleared I will mail/upload the current
     version to you.  All disks will be 5¬" 360K (3«" 720k, 1.44, and 5¬"
     1.2meg are available for $2 more)...,

     /\/\ountainTop Technologies.
     91 Sage Ct.
     Bedminster, NJ 07921 USA.
     ATTN: Nick Tucker

     NJ residence please add 7% Sales Tax...
     DO NOT SEND CASH!!!.

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  Name: _____________________________________________
             
  Address: __________________________________________

  City: _______________________  State ____  Zip _________:______

  Phone Number : (____)-_____-_____.


  If you have a BBS:
  ÄÄÄÄÄÄÄÄÄÄÄÄÄÄÄÄÄÄ

  BBS Name: ___________________  Net/Node #: ____________________
 
  Phone Number: (___)-___-____   Hours of Operation: ____________

  Supported Baud Rates : ________________________________________

  For Direct upload (USA Only) please fill in the following so
  I can log onto your BBS and upload all the files. If I can File
  Attach to you please indicate here (Circle One)  Y / N .

  Account Name : ____________________  Password: _____________

  If in Fidonet, please specify Net/Node Number (ONLY VALID IN USA)

  1:________/_________

  ==========================================================================

                                                                Total:

  ________  Copies of AutoScan @ $10 on a 5¬" 360k disk        ________

  ________  Copies of AutoScan @ $12 on a 5¬" 1.2meg disk      ________

  ________  Copies of AutoScan @ $12 on a 3«" 720k disk        ________

  ________  Copies of AutoScan @ $12 on a 3«" 1.44meg disk     ________


  Payment Type (circle one):                [CHECK]       [MONEY ORDER]
  NO COD's
                                             NJ 7% Sales Tax   ________

                                             Grand Total       ________


  Thank You for Using AutoScan.

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