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Text File  |  1994-09-28  |  6KB  |  88 lines
  1.  
  2.  
  3. ========================================================================
  4. |     Register: FaxMail for Windows, FAX-V203.ZIP, 1-713-261-0307      |
  5. | ElectraSoft, 3207 Carmel Valley Drive, MISSOURI CITY, TX  77459-3068 |
  6. |== Please Print ======================================================|
  7. |                                                                      |
  8. | Date___/___/___ Country________________ Wk Phone____________________ |
  9. |                                                                      |
  10. | Name___________________________________ Hm Phone____________________ |
  11. |                                                                      |
  12. | Address________________________________ Fx Phone____________________ |
  13. |                                                             _        |
  14. | City_______________________________ State_____ ZIP__________________ |
  15. |======================================================================|
  16. | Disk Size:  __3.5-1.4MB  __5.25-1.2MB  __Other______________________ |
  17. |-----+----------------------------------------------------------------|
  18. | Qty | Item                                                 Amount    |
  19. |-----+----------------------------------------------------------------|
  20. |     |                                                                |
  21. |     | FaxMail for Windows - - - - - - - - - - - - - $25.00 $_____.__ |
  22. |-----|                                                                |
  23. |     | OCR, Optical Character Recognition, Fax-text- $20.00 $_____.__ |
  24. |-----|                                                                |
  25. |     | Zoom/Edit Fax, Zoom in and edit a Fax - - - - $10.00 $_____.__ |
  26. |-----|                                                                |
  27. |     | DCX to PCX Breakup, Convert Fax to .PCX file- $10.00 $_____.__ |
  28. |-----+----------------------- or ---------------------------          |
  29. |     | All of the above ($10.00 savings) - - - - - - $55.00 $_____.__ |
  30. |-----+--------------------------------------------------------------- |
  31. |                                                                      |
  32. | Total Price of Merchandise  - - - - - - - - - - - - - - -  $_____.__ |
  33. |                                                                      |
  34. | Texas residents, please, add Sales Tax (8.25%)  - - - - -  $_____.__ |
  35. |                                                                      |
  36. | Registration, Shipping, and handling  - - - - - - -  $4.00 $____4.00 |
  37. |                                                                      |
  38. | Total (Pay this amount) - - - - - - - - - - - - - - - -  US$_____.__ |
  39. |----------------------------------------------------------------------|
  40. |   __VISA            __MC            __DISCOVER            __Check    |
  41. |                                                                      |
  42. | Card Number_________________________________________ Exp Date___/___ |
  43. |                                                                      |
  44. | Print name as it appears on card____________________________________ |
  45. |                                                                      |
  46. | Signature_____________________________________ Date Today___/___/___ |
  47. |                                                                      |
  48. |======================================================================|
  49. | Mail Orders:                                                         |
  50. | ElectraSoft, 3207 Carmel Valley Drive, MISSOURI CITY, TX  77459-3068 |
  51. |                                                                      |
  52. | Phone Orders:                                                        |
  53. | Call ElectraSoft at 1-713-261-0307                                   |
  54. |                                                                      |
  55. | FAX Orders:                                                          |
  56. | Call ElectraSoft at 1-713-499-5939,11,11,11,11                       |
  57. |                                                                      |
  58. | Where did here about FaxMail for Windows____________________________ |
  59. ========================================================================
  60.  
  61.  
  62.  
  63. ========================================================================
  64. | Optional; to help us better serve you:                               |
  65. | Which Fax/Modem-Driver works best (found in your AUTOEXEC.BAT):      |
  66. | __FM_ROCK2.COM  __FM_ROCK1.COM  __FM_ATT1I.COM  __FM_ATT2I.COM       |
  67. | __FM_PP1.COM    __FM_CLS2I.COM  __FM_CLS2E.COM  __FM_DOVE1.COM       |
  68. | __FM_DALAS.COM  __FM_ZOOM2.COM  __FM_ZYXEL.COM  __FM_CLAS1.COM       |
  69. | __CAS(none) Fax/Modem Brand/Mod#____________________________________ |
  70. | Data Speed: __1200bps __2400bps __9600bps __14400bps __Other________ |
  71. | FAX Speed:  __1200bps __2400bps __9600bps __14400bps __Other________ |
  72. | Supported: __HST __V.32 __V.32bis __V.42bis __Other_________________ |
  73. | Computer Brand______________________________________________________ |
  74. | Processor: __8088 __80286 __80386 __80486 __Other___________________ |
  75. | Machine Speed: __25Mhz __33Mhz __50Mhz __66Mhz __Other______________ |
  76. | Display Type: __CGA __EGA __VGA __SVGA __Other______________________ |
  77. | Floppy Drive(s): __3.5, 1.4MB __5.25 1.2MB __Other__________________ |
  78. | HardDrive Brand/Mod#______________________________ size___________MB |
  79. | Bugs or suggested improvements (print on back)______________________ |
  80. | ____________________________________________________________________ |
  81. | ____________________________________________________________________ |
  82. | ____________________________________________________________________ |
  83. | ____________________________________________________________________ |
  84. | ____________________________________________________________________ |
  85. | Signature_________________________________________ Date_____________ |
  86. ========================================================================
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