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CICA 1995 May
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UTIL
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QZIP21
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REGISTER.FRM
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1993-02-04
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3KB
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130 lines
QuinZip v2.1 MEMBERSHIP REGISTRATION APPLICATION
NAME: ____________________________________________________________
ADDRESS: _________________________________________________________
CITY: _________________ STATE: _____ ZIP CODE: ______________
COUNTRY: ___________________________
TELEPHONE NUMBER: (_________) _________________________________
AREA CODE NUMBER
I downloaded QuinZip v2.1, as shareware, from the following BBS:
BBS NAME: ________________________________________________________
PRINT CLEARLY
BBS TELEPHONE NUMBER: ____________________________________________
AREA CODE NUMBER
CITY: __________________ STATE: _____ COUNTRY: _____________
Enclosed, please find my payment of $35.00 (check one):
_____ personal check _____ money order _____ bank check
I authorize you to charge $35.00 to my (check one):
_____ American Express _____ MasterCard _____ Visa
Massachusetts residents who download QuinZip v2.1 from a
Massachusetts BBS will have a 5% sales tax added to their
credit charge, or must add 5% to their personal check,
money order or bank check. Total fee is $36.75.
ACCOUNT NUMBER: __________________________________________________
PRINT CLEARLY
EXPIRATION DATE: ____________________
EXACT NAME ON CARD: ______________________________________________
PRINT CLEARLY
I understand my credit card order will be processed through
Micro-Systems Software, a Quintessence Corporation; I will
receive a charge slip in the mail, sent to the address indicated
on my Application.
I have made my personal check, money order or bank check payable
to Quintessence Corporation.
Please, DO NOT MAIL CASH!
I understand all conditions as described above.
SIGNATURE: _______________________________________________________
APPLICATION MAY NOT BE ACCEPTED WITHOUT SIGNATURE
Please check as many as necessary:
_____ Please consider me for a Quintessential Bug Killer position.
(Beta-Tester... make sure we have your telephone number and
a separate letter explaining your interest)
_____ Please send me more technical information about WHISPER
_____ I've indicated from which BBS I downloaded QuinZip v2.1
_____ Don't forget to send me WHISPER *** FREE-OF-CHARGE *** as
soon as it's released!
We appreciate suggestions from QuinZip User Group Members! Please
tell us the new features you want to see implemented in QuinZip's
next release. Attach a separate sheet if necessary, or call our BBS
at (617) 237-8687 to post your ideas and share them with other
members.
__________________________________________________________________
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