home *** CD-ROM | disk | FTP | other *** search
/ DP Tool Club 17 / CD_ASCQ_17_101194.iso / dos / prg / ghostlib / regform.int < prev    next >
Encoding:
Text File  |  1994-08-31  |  4.4 KB  |  61 lines
  1. +------------------------------------------------------------------------+
  2. |                 GhostWare Library v2.3 Registration form               |
  3. |                                                                        |
  4. |                   FOR INTERNATIONAL (non-Dutch) USERS                  |
  5. |------------------------------------------------------------------------|
  6. |  Send to : GhostWare                                                   |
  7. |            R. van Geest                                                |
  8. |            Edelsteenweg 57                                             |
  9. |            2651 SP Berkel & Rodenrijs                                  |
  10. |            The Netherlands                                             |
  11. |------------------------------------------------------------------------|
  12. |  Full name and address and telephone/fax (PLEASE PRINT) :              |
  13. |                                                                        |
  14. |                                                                        |
  15. |                                                                        |
  16. |                                                                        |
  17. |                                                                        |
  18. |                                                                        |
  19. |                                                                        |
  20. |                                                                        |
  21. |------------------------------------------------------------------------|
  22. |  How did you acquire GhostWare Library ?                               |
  23. |   [ ] Local BBS name   :                                               |
  24. |       City/Country     :                                               |
  25. |       Telephone number :                                               |
  26. |   [ ] Distributor name :                                               |
  27. |   [ ] Friend/associate                                                 |
  28. |   [ ] Other            :                                               |
  29. |------------------------------------------------------------------------|
  30. |  Pricing (in US Dollars) :                          Copies     Total   |
  31. |                                                     ------    -------  |
  32. |  FIRST TIME REGISTRATION :                                             |
  33. |    3½inch disk with library etc.          $ 30.00  x ____  =  _______  |
  34. |                                                                        |
  35. |  UPGRADE TO VERSION 2.3 :                                              |
  36. |    For those registered                                                |
  37. |    after May 1. 1994 :                                                 |
  38. |      Registration no.: ________________   $  5.00  x ____  =  _______  |
  39. |                                                                        |
  40. |    For those registered                                                |
  41. |    before May 1. 1994 :                                                |
  42. |      Registration no.: ________________   $ 15.00  x ____  =  _______  |
  43. |                                                                        |
  44. |  IF YOU ENCLOSE A CHEQUE :                                             |
  45. |    Bank transfer rate                     $ 10.00  x   1   =  _______  |
  46. |                                                                        |
  47. |  SHIPPING AND HANDLING :                                               |
  48. |    Add this amount always                                     $ 10,00  |
  49. |                                                               -------  |
  50. |  TOTAL                                                                 |
  51. |    Enclosed (preferably) in cash or cheque                    _______  |
  52. |                                                                        |
  53. |                                                                        |
  54. |  Date :                                    Signature                   |
  55. |                                                                        |
  56. |                                                                        |
  57. |                                                                        |
  58. +------------------------------------------------------------------------+
  59. IF YOU ENCLOSE A CHEQUE, MAKE SURE IT IS MADE PAYABLE TO R. van Geest !
  60.  (use back for comments)
  61.