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ORDER.TXT
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1995-03-29
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3KB
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aiNet 1.0 REGISTRATION FORM (USE CAPITAL LETTERS, PLEASE)
Name: ___________________________________________________________
E-MAIL Address: ___________________________________________________________
Company/Address: ___________________________________________________________
____________________________________________________________________________
Registration Name: _______________________________(Do not make it too long!)
(This name will appear on the aiNet's caption bar. The registration code,
you will receive, will be calculated on the basis of the Registration Name)
How do you want to receive a registration?
-----------------------------------------
[ ] I want to receive a registrered version of the aiNet on a diskette.
Mail it to me in a [ ] 5.25" [ ] 3.5" diskette.
[ ] I want to receive a registration card only (includes Registration Text &
Code), but no diskette.
Send it to me via [ ]mail, [ ]e-mail.
I order _______ copy(s) of aiNet manual at the price of US$10 for each copy.
This makes US$___________ in total.
Price Calculation:
-----------------
Registration Fee: _____________ Single user registration fee: US$200.
Multiple users registration fee:
2-5 users US$160 per user, 6-10 users
US$130 per user, 11 or more US$100 per user.
Manuals: _____________ Fill in the total from manual order (above).
Write zero if you do not order any manuals.
Shipping & Handling: __________ Zero, if you do not order any manuals or
diskette. Otherwise: Europe US$4,
Total Cost: ___________________ other countries US$9.
Credit Card Orders: (Please Check)
-------------------
[ ] MasterCard, [ ] Visa, [ ] American Express, [ ] Eurocard, [ ] Diners Club
Chardholder's Name: _______________________________________________________
Address: _______________________________________________________
Credit Card Number: ____________________________ Credit card payments may be
sent via mail or E-Mail!
Expiration Date: Month __________ Year ______
Cardholder's Signature: ________________________ (for Mail orders)
Check Payments: Make check or money order payable in U.S to:
..............................................................................
AINET, : Internet: : [ ]I want, [ ] I do
Ales Krajnc s.p. : : not want to be
Trubarjeva 42, : ainet@ikpir.fagg.uni-lj.si : informed about new
SI-63000 Celje : : issues of the aiNet
Slovenia, Europe : :