Registration Form for DAfx

	Company:__________________________________________

	Name:	__________________________________________

	Address:__________________________________________

	City:	__________________________________________

	State:	____________________	Zip: _____________

	Country:__________________________________________

(Check one - see documentation for package benefits)
_  Yes, sign me up for Package #1, I want to be a preferred customer and
   receive the great benefits mentioned.  I have enclosed my check or money
   order for $20.00 in U.S. Funds.
_  Yes, sign me up for Package #2, I want to be a common customer and pay on a
   per-upgrade basis.  I have enclosed my check or money order for $10.00 in
   U.S. Funds.       (V# AB3A3AB83A3ACCFC)

Send registration form with check/money order made out to:

Mi Concepts
P.O. Box 8822
Kentwood, MI  49508


(Please answer all of the following questions so that we can better serve you.  Check all that apply.)

I am a:	_ Mac programmer/developer.
	_ Mac user.

I own a: _Mac 512   _Mac 512E   _Mac Plus   _Mac SE   _Mac II.

I have upgraded the memory to: _____MB of RAM.

For printing, I use a:	_ImageWriter (I/II)   _ImageWriter LQ   _LaserWriter
			_Other____________________

I also use:	_Hard Disk			_Color option for Mac II
		_68020 processor upgrade	_68881 math coprocessor upgrade
		_Cauzin Softstrip Reader	_Other___________________

_Send me info on quantity discounts,  I need ____ (#-Minimum is 5) more Keys.
_I am interested in purchasing the documentation instead of printing it myself.
_I am interested in a auto-update plan, let me know the details (preferred
   customers only).
_I am interested in other products Mi Concepts may develop, keep me posted.

_I am the sysop of the _____________________(name) BBS and would like to become

   a distribution site.  I currently have ____ (#) of users.  The number to my

   BBS is (____) __________, it is running _______ (hours) during the day,

   _____(days) a week.  The maximum baud rate is _________ baud.

_I downloaded DAfx from the _________________(name) BBS.  It is my favorite

   local BBS and would like to see it become a distribution site.  The sysop's

   name is ______________________ and his/her board is up ________(hours) a 

   day, _________(days) a week, and has a maximum baud rate of_________ baud.

   The phone # for the board is (_____) ____________.


Comments/Suggestions:______________________________________________________

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"Preferences Dialog" suggestions:
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