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Text File  |  1994-10-19  |  4KB  |  129 lines
  1.  
  2.  
  3.                     Stevenson Technical Services, Inc. (STSI)
  4.                             108 Second Avenue West
  5.                             Bertha, MN 56437-0297
  6.                             Phone: (218) 924-2050
  7.                           FAX: (218) 924-2050 (Ext. 11)
  8.                       The Bertha BBS: (218) 924-2060, N,8,1
  9.  
  10.                           BOOT'R 2.05 Registration Form
  11.  
  12.      Qty    Description                                Price Each    Total
  13.  
  14.     _____   BOOT'R Single-User Registration               $34.95    ________
  15.               Includes Printed Manual, 3 1/2" & 5 1/4" Diskettes
  16.  
  17.     _____   BOOT'R Site-License (# of Users? ____)       _______    ________
  18.  
  19.             # of Users      Price           # of Users      Price
  20.             ----------    ---------         ----------    ---------
  21.                  5         $100.00              50         $400.00
  22.                 10         $200.00             100         $500.00
  23.                 20         $300.00            More?         CALL
  24.  
  25.  
  26.                                                       Sub-Total:    ________
  27.  
  28.                          Minnesota Residents Add 6.5% Sales Tax:    ________
  29.  
  30.     Shipping & Handling (US & Canada = $5.00, Foreign = $10.00):    ________
  31.  
  32.                                                           Total:    ________
  33.  
  34.  
  35.     Name: ___________________________________  Title: ______________________
  36.  
  37.   Company: _________________________________________________________________
  38.  
  39.   Address: ______________________________  City: ___________________________
  40.  
  41.     State: ___________  Zip Code: ______________  Phone: ___________________
  42.  
  43.   Please Register BOOT'R To This Name: _____________________________________
  44.  
  45.  
  46.     Method of Payment: ___ Visa/MC   ___ American Express   ___ Discover
  47.  
  48.                        ___ Check/Money Order Enclosed
  49.  
  50.            (Checks/MO's must be in U.S. Funds drawn on a U.S. Bank!)
  51.  
  52.   Credit Card #: _________________________________  Expiration Date: ___/___
  53.  
  54.   Name on Card: _______________________  Signature: ________________________
  55.  
  56.   Comments / Suggestions: __________________________________________________
  57.  
  58.   __________________________________________________________________________
  59.  
  60.   __________________________________________________________________________
  61.  
  62.  
  63.                                      Page 1
  64.  
  65.  
  66.  
  67.     Please take a minute to answer the following questions.  Your answers
  68.     will assist us in improving and marketing BOOT'R.
  69.  
  70.  
  71.     (Check all that apply.)
  72.  
  73.     Where did you hear about BOOT'R?
  74.  
  75.     [ ] BBS    [ ] Catalog/Magazine    [ ] Friend/Relative    [ ] Other
  76.  
  77.  
  78.     What operating systems / environments do you use?
  79.  
  80.     [ ] DOS    [ ] Windows   [ ] DESQview/DESQview/X     [ ] OS/2
  81.  
  82.  
  83.     What version of DOS do you use? ________________________________________
  84.  
  85.  
  86.     Do you use any of the following programs/utilities?
  87.  
  88.     [ ] Stacker    [ ] SuperStor    [ ] DoubleSpace
  89.  
  90.  
  91.     Why are you registering BOOT'R?
  92.  
  93.     [ ]  I'm honest by nature.
  94.     [ ]  The prelog delay is so annoying!
  95.  
  96.  
  97.     What feature(s) do you like the most about BOOT'R? _____________________
  98.  
  99.   __________________________________________________________________________
  100.  
  101.   __________________________________________________________________________
  102.  
  103.  
  104.     What feature(s) would you like to see added to BOOT'R? _________________
  105.  
  106.   __________________________________________________________________________
  107.  
  108.   __________________________________________________________________________
  109.  
  110.  
  111.     Additional Comments: ___________________________________________________
  112.  
  113.   __________________________________________________________________________
  114.  
  115.   __________________________________________________________________________
  116.  
  117.  
  118.     May We Quote You?    [ ] Yes    [ ] No    [ ] Doesn't Matter
  119.  
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  127.                                      Page 2
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