Revolution Registration Form
From: Len Stys (aa399)
Date: 12/23/89-09:33:13 PM Z
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From: aa399 (Len Stys)
Subject: Revolution Registration Form
Date: Sat Dec 23 21:33:13 1989
PARTICIPANT REGISTRATION
------------------------
PLEASE COMPLETE THIS FORM AND MAIL WITH YOUR CHOSEN PLEDGE
TO: ARTISAN SOFTWARE, P.O. BOX 849, MANTECA, CA 95336
PLEASE PRINT CLEARLY!
___ YES, I understand the campaign entitled: "The
REVOLUTION" and agree that a unified national effort to
enhance Atari computer sales may be a fun project and one
that will better protect my investment in the future. I
acknowledge that the campaign HANDBOOK makes suggestions
only. I am not obligated to do any or all of them if I
choose not to. (Make checks payable to Artisan Software.)
PLEDGE ENCLOSED $_________________ (NOT REQUIRED)
SIGNATURE _______________________________ DATE ____________
NAME _______________________AGE ___ PHONE (_____) _________
COMPANY OR USER GROUP REPRESENTED (if applicable):
COMPANY NAME ___________________________________
ADDRESS ________________________________________
CITY __________________ STATE _____ ZIP ________
COMPANY PHONE NUMBER (_______) _________________
DEALER ___ DISTRIBUTOR ___ PUBLISHER ___ MFG___
OTHER _________________________________________
PERSONAL ADDRESS __________________________________________
CITY ___________________ STATE _____ ZIP _________
OCCUPATION ________________________ PHONE (_____) _________
COMPUTER(S) OWNED _________________________________________
MY USER GROUP MEMBERSHIP IS AT ____________________________
___________________________________________________________
I USE THE COMPUTER PRIMARILY FOR __________________________
___________________________________________________________
PLEASE ADD COMMENTS OR SUGGESTIONS ON THE REVERSE SIDE.
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