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Text File  |  1995-04-05  |  4KB  |  133 lines
  1.  
  2.                   Stevenson Technical Services, Inc. (STSI)
  3.                            108 Second Avenue West
  4.                             Bertha, MN 56437-0297
  5.                           Phone/FAX: (218) 924-2050
  6.                      The STSI BBS: (218) 924-2060, N,8,1
  7.  
  8.                        QwkSlave 1.06 Registration Form
  9.  
  10.    Qty    Description                                   Price      Total
  11.  
  12.   _____   QwkSlave Single-User Registration             $49.95    ________
  13.             Includes a printed manual, 3 1/2" & 5 1/4" diskettes,
  14.             removal of nag screens and database record limit, and
  15.             a registration number good for all version 1.x releases.
  16.  
  17.   _____   QwkSlave Site-License (Users? ___)            ______    ________
  18.             (Same price breaks apply for site-licensing.)
  19.  
  20.            # of Users      Price           # of Users       Price
  21.            ----------     -------          ----------      -------
  22.                 5    ->   $150.00              50     ->   $600.00
  23.                10    ->   $300.00             100     ->   $750.00
  24.                20    ->   $450.00            More?    ->    CALL
  25.  
  26.  
  27.                                                       Sub-Total:  ________
  28.  
  29.                          Minnesota Residents Add 6.5% Sales Tax:  ________
  30.  
  31.        Shipping/Handling (USA/Canada = $5.00, Foreign = $10.00):  ________
  32.  
  33.                                                           Total:  ________
  34.  
  35.      Name: _____________________________  Company: _______________________
  36.  
  37.   Address: _______________________________________________________________
  38.  
  39.      City: ___________________________  State: _____  Zip Code: __________
  40.  
  41.   Country: ___________________________  Phone: ___________________________
  42.  
  43.   Internet Address: ______________________________________________________
  44.  
  45.   Please Register QwkSlave To This Name: ________________________________
  46.  
  47.  
  48.     Method of Payment: ___ Visa      ___ MasterCard   ___ American Express
  49.                        ___ Discover  ___ Check/Money Order Enclosed
  50.  
  51.  
  52.    Credit Card #: ______________________________  Expiration Date: ___/___
  53.  
  54.    Name on Card: ____________________  Signature: ________________________
  55.  
  56.    Comments / Suggestions: _______________________________________________
  57.  
  58.    _______________________________________________________________________
  59.  
  60.    _______________________________________________________________________
  61.  
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  66.                                      Page 1
  67.  
  68.   Please take a minute to answer the following questions.  Your answers
  69.   will assist us in improving and marketing QwkSlave.  (Check all that
  70.   apply.)
  71.  
  72.  
  73.   Where did you hear about QwkSlave?
  74.  
  75.   [ ] BBS             [ ] Catalog/Magazine    [ ] Friend/Relative
  76.   [ ] Rack Vendor     [ ] User's Group        [ ] Other _______________
  77.  
  78.   Please provide name of BBS/Catalog/Magazine/User's Group, (if possible)
  79.  
  80.   ______________________________________________________________________
  81.  
  82.  
  83.   What operating systems / environments do you use?
  84.  
  85.   [ ] DOS    [ ] Windows   [ ] DESQview/DESQview/X     [ ] OS/2
  86.  
  87.  
  88.   Would you like to see a Windows version of QwkSlave?
  89.  
  90.   [ ] Yes    [ ] No        [ ] Doesn't Matter
  91.  
  92.  
  93.   What types of messages or what message conferences do you use QwkSlave
  94.   for?  (Example: Networking, Programming, General Browsing, etc.)
  95.  
  96.   _______________________________________________________________________
  97.  
  98.  
  99.   What feature(s) do you like the most about QwkSlave?  _________________
  100.  
  101.   _______________________________________________________________________
  102.  
  103.  
  104.   What feature(s) would you like to see added to QwkSlave?  ______________
  105.  
  106.   ________________________________________________________________________
  107.  
  108.  
  109.   Additional Comments: ___________________________________________________
  110.  
  111.   ________________________________________________________________________
  112.  
  113.  
  114.   May We Quote You?    [ ] Yes    [ ] No    [ ] Doesn't Matter
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  132.                                      Page 2
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