Revolution Registration Form

From: Len Stys (aa399)
Date: 12/23/89-09:33:13 PM Z


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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